Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Tina Johnson, LICSW

Individual provider Clinical Social Worker · NPI 1073579306

MS. Tina Johnson, LICSW is a Clinical Social Worker in Cottonwood, Arizona. Qualified in 1985, 41 years ago. Practices with Tribe Wellness Group PLLC, a 2-clinician group and offers telehealth. Licensed in Arizona.

Years since qualifying
41
Licensed in
AZ
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

799 Cove Pkwy
Cottonwood, AZ 86326-4683
Phone: (701) 261-9685
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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 LCSW-17813 (AZ)

Record details

NPI number1073579306
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedApril 25, 2006
Last updated in NPPESMay 11, 2020
Certification dateMay 11, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Tribe Wellness Group Pllc — 2 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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