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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1578341020

Tyler Johnson, LCSW, LAC is a Clinical Social Worker in Sioux Falls, South Dakota. Qualified in 2019, 7 years ago. Practices with Avera McKennan, a 962-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
7
Licensed in
SD
In the registry since
2023
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

2412 S Cliff Ave
Sioux Falls, SD 57105-4031
Phone: (605) 322-4079
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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 6338 (SD)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 23071956 (SD)

Record details

NPI number1578341020
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LAC
Sole proprietorNo
NPI enumeratedSeptember 18, 2023
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 17, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Avera McKennan — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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