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Tania Melissa Johnson , MSW

Social Worker β€’ Cocoa, FL

Active NPI 1659716165 Individual Practitioner Female Practitioner
Practice location in NPPES

5355 Date Palm St
Cocoa, FL 32927

Call 3212137117 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5355 Date Palm St

Cocoa, FL 32927

Telephone 3212137117
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Cocoa, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Cocoa and Florida

12 active clinicians are listed under Social Worker with a practice address in Cocoa, FL (5,486 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Cocoa

0% of these 12 clinicians have the CMS telehealth indicator.

16.7% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-06-13
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES FL ISW 8612

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
100826200 (FL)

Secondary Practice Locations

6955 Briggs Ave

Cocoa, FL 32927

Phone: 3212137117

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

21 Historical Events
πŸ”„
NPI Profile Reactivated June 13, 2022

Record officially reactivated for active practice on June 13, 2022

πŸ“
Updated Practice Location June 13, 2022

Registered at 5355 DATE PALM ST, COCOA, FL 32927 (Tel: 3212137117)

πŸ“
Updated Business Mailing Address June 13, 2022

Registered at 5355 DATE PALM ST, COCOA, FL 329272057 (Tel: 3212137117)

πŸ‘€
Provider Name / Credentials Updated June 13, 2022

Recorded as TANIA JOHNSON, MSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2022

Social Worker (license number reported to NPPES: FL ISW 8612)

⚠️
NPI Profile Deactivated May 04, 2022

NPPES lists this NPI as deactivated as of May 04, 2022; the reason is not published.

πŸ“
Updated Practice Location January 28, 2019

Registered at 5355 DATE PALM ST, COCOA, FL 32927 (Tel: 3212137117)

πŸ“
Updated Business Mailing Address January 28, 2019

Registered at 5355 DATE PALM ST, COCOA, FL 329272057 (Tel: 3212137117)

πŸ“
Updated Practice Location September 07, 2018

Registered at 6955 BRIGGS AVE, COCOA, FL 32927 (Tel: 3212137117)

πŸ“
Updated Business Mailing Address September 07, 2018

Registered at 6955 BRIGGS AVE, COCOA, FL 329273617 (Tel: 3212137117)

βœ…
NPI Profile Active April 26, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location April 26, 2017

Registered at 1009 MAITLAND CENTER COMMONS BLVD STE 212, MAITLAND, FL 327517270 (Tel: 4076363535)

πŸ“
Updated Business Mailing Address April 26, 2017

Registered at 1009 MAITLAND CENTER COMMONS BLVD STE 212, MAITLAND, FL 327517270 (Tel: 4076363535)

πŸ‘€
Provider Name / Credentials Updated April 26, 2017

Recorded as TANIA JOHNSON, MSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2017

Social Worker (license number reported to NPPES: FL ISW 8612)

βœ…
NPI Profile Active July 19, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 19, 2013

Registered at 3270 SUNTREE BLVD STE 101, MELBOURNE, FL 329407540 (Tel: 3216107949)

πŸ“
Business Mailing Address (Initial Record) July 19, 2013

Registered at 6955 BRIGGS AVE, COCOA, FL 329273617 (Tel: 3212137117)

πŸ‘€
Provider Name / Credentials (Initial Record) July 19, 2013

Recorded as TANIA JOHNSON, MSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2013

Social Worker

🟒
Initial NPI Registration & Enumeration May 10, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1659716165
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2013
Last Update: June 13, 2022
Sole Proprietor: Yes

Other Social Workers in Cocoa

Healthcare providers in Cocoa

Mailing Address

5355 Date Palm St

Cocoa, FL 329272057

Phone: 3212137117

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.