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

Tiffanie Effie Johnson, MSW, LCSW

Individual provider Mental Health Counselor · NPI 1083015572

Tiffanie Effie Johnson, MSW, LCSW is a Clinical Social Worker in Los Angeles, California. Qualified in 2016, 10 years ago. Practices with Blue Moon Senior Counseling of California LLC, a 79-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5811 S San Pedro St
Los Angeles, CA 90011-5323
Phone: (323) 234-4445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10775 Pioneer Trl Ste 215, Truckee, CA 96161-0234 — (415) 424-4266

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 92283 (CA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1083015572
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedSeptember 16, 2014
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Blue Moon Senior Counseling Of California Llc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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