MS. NICOLE JASMINE JOHNSON MSW, MA, LCSW
NPI 1063422905
Social Worker - Clinical in Bay Pines, FL

Active since August 09, 2006PECOS Enrolled
10000 BAY PINES BLVD, BAY PINES, FL 33744(813) 433-3562 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Nicole Jasmine Johnson Msw, Ma, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. NICOLE JASMINE JOHNSON MSW, MA, LCSW (NPI 1063422905) is an individual clinical provider in Bay Pines, Florida, licensed in Florida (SW9363) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1063422905
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. NICOLE JASMINE JOHNSONCredential: MSW, MA, LCSW
Location Address10000 BAY PINES BLVDBay Pines, FL 33744-5005
Mailing Address2160 Chianti Pl Unit 117Palm Harbor, FL 34683-7736 · (813) 433-3562
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 9, 2006
Last NPPES UpdateSeptember 18, 2025
NPPES CertifiedSeptember 18, 2025
✔ NPI 1063422905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in FL · SW9363✔ Licensed in AL · 5970C✔ Licensed in VA · 0904018451✔ Licensed in NY · 099154
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
10000 BAY PINES BLVD, Bay Pines, FL 33744

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Nicole Jasmine Johnson Msw, Ma, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42714065
PECOS Enrollment IDI20251021000049, I20251029001676
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicole Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia, Florida and New York enrollments
  • 1,424 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Virginia enrollment
  • 128 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33744 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
10000 BAY PINES BLVD, BAY PINES VAHCS
BAY PINES, FL 33744
Social Worker (Clinical)
10000 BAY PINES BLVD
BAY PINES, FL 33744
Pharmacist
10000 BAY PINES BLVD
BAY PINES, FL 33744
Social Worker (Clinical)
10000 BAY PINES BLVD
BAY PINES, FL 33744
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
10000 BAY PINES BLVD
BAY PINES, FL 33744
Student in an Organized Health Care Education/Training Program
10000 BAY PINES BLVD
BAY PINES, FL 33744
Pharmacist (Pharmacotherapy)
10000 BAY PINES BLVD, VA MEDICAL CENTER
BAY PINES, FL 33744
Psychiatry & Neurology (Psychiatry)
10000 BAY PINES BLVD
BAY PINES, FL 33744

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Johnson's NPI number?

The NPI number for Nicole Johnson is 1063422905. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Nicole Johnson located?

Nicole Johnson practices at 10000 Bay Pines Blvd, Bay Pines, FL 33744. The listed phone number is (813) 433-3562.

What is Nicole Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Nicole Johnson enrolled in Medicare?

Yes. Nicole Johnson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Johnson reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PA (Miami, FL) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Johnson accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health and 2 other insurers list Nicole Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Johnson was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.