Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Breanna Jo Johnson, BACADC

Individual provider Clinical Social Worker · NPI 1063847473

Mrs. Breanna Jo Johnson, BACADC is a Clinical Social Worker in Mason City, Iowa. Qualified in 2021, 5 years ago. Practices with Prairie Ridge Integrated Behavioral Healthcare, a 22-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
5
Licensed in
IA
In the registry since
2013
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Practice location Address checks out

320 N Eisenhower Ave
Mason City, IA 50402-1338
Phone: (641) 424-2391
Fax: (641) 424-0783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 107714 (IA)

Record details

NPI number1063847473
Entity typeIndividual (Type 1)
GenderFemale
Credentials BACADC
Sole proprietorNo
NPI enumeratedSeptember 5, 2013
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Prairie Ridge Integrated Behavioral Healthcare — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mason City