1. Home
  2. Directory
  3. Arizona
  4. Cottonwood
  5. Social Worker
  6. NPI Profile

MS. TINA JOHNSON LICSW
NPI 1073579306
Social Worker - Clinical in Cottonwood, AZ

Active since April 25, 2006PECOS Enrolled
799 COVE PKWY, COTTONWOOD, AZ 86326(701) 261-9685 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2020, Sep 16, 2019, Jul 11, 2019 (3 updates tracked since 2019).

About Ms. Tina Johnson Licsw NPPES

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

MS. TINA JOHNSON LICSW (NPI 1073579306) is an individual clinical provider in Cottonwood, Arizona, licensed in Arizona (LCSW-17813) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1073579306
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. TINA JOHNSONCredential: LICSW
Location Address799 COVE PKWYCottonwood, AZ 86326-4683
Mailing Address270 S Desperado DrCottonwood, AZ 86326-7356 · (701) 261-9685 · Fax (701) 346-1100
Phone(701) 261-9685
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateApril 25, 2006
Last NPPES UpdateMay 11, 20203 updates tracked since enumeration
NPPES CertifiedMay 11, 2020
✔ NPI 1073579306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in AZ · LCSW-17813
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.
799 COVE PKWY, Cottonwood, AZ 86326
Open in Google Maps ↗

Other Identifiers 1

Medicaid1454874ND

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tina Johnson Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931193695
PECOS Enrollment IDI20191231001660
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86326 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 $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 2

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

SANCTUARY COVE HEALTHCARE, PLLC
Nurse Practitioner (Family)
799 COVE PKWY
COTTONWOOD, AZ 86326
Yavapai County (928) 649-6474
OAK CREEK PSYCHIATRIC MENTAL HEALTH NP PLLC
Clinic/Center (Multi-Specialty)
799 COVE PKWY
COTTONWOOD, AZ 86326
Yavapai County (928) 910-2127

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 Tina Johnson's NPI number?

The NPI number for Tina Johnson is 1073579306. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Tina Johnson located?

Tina Johnson practices at 799 Cove Pkwy, Cottonwood, AZ 86326. The listed phone number is (701) 261-9685.

What is Tina Johnson's specialty?

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

Is Tina Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tina Johnson was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.