Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1659716165 Deactivated / Inactive NPI Female Practitioner

Tania Melissa Johnson , MSW

Social Worker • Cocoa, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tania Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 10, 2013
NPI Deactivation Date May 04, 2022
Total Practice Duration ~9 Years of Practice (2013 – 2022)

Professional Overview & Biography Verified Profile Summary

Tania Johnson, MSW was a registered Social Worker practicing in Cocoa, FL. Throughout an active medical career spanning 9 years, Tania Johnson provided care at the practice location at 5355 DATE PALM ST until profile deactivation on 2022-05-04.

Practice Location & Contact Primary Location

Practice Address

5355 Date Palm St

Cocoa, FL 32927

Telephone 3212137117

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Cocoa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
12 Specialists

Practicing in Cocoa, FL (5606 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-06-13
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License FL ISW 8612

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100826200 (FL)

Secondary Practice Locations

6955 Briggs Ave

Cocoa, FL 32927

Phone: 3212137117

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

20 Historical Events
📍
Updated Practice Location June 13, 2022

Registered at 5355 DATE PALM ST, COCOA, FL 32927 (Tel: 3212137117)

📍
Updated Business Mailing Address June 13, 2022

Registered at 5355 DATE PALM ST, COCOA, FL 329272057 (Tel: 3212137117)

👤
Provider Name / Credentials Updated June 13, 2022

Recorded as TANIA JOHNSON, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2022

Social Worker (License #ISW 8612 in FL)

⚠️
NPI Profile Deactivated May 04, 2022

Record deactivated on May 04, 2022

📍
Updated Practice Location January 28, 2019

Registered at 5355 DATE PALM ST, COCOA, FL 32927 (Tel: 3212137117)

📍
Updated Business Mailing Address January 28, 2019

Registered at 5355 DATE PALM ST, COCOA, FL 329272057 (Tel: 3212137117)

📍
Updated Practice Location September 07, 2018

Registered at 6955 BRIGGS AVE, COCOA, FL 32927 (Tel: 3212137117)

📍
Updated Business Mailing Address September 07, 2018

Registered at 6955 BRIGGS AVE, COCOA, FL 329273617 (Tel: 3212137117)

NPI Profile Active April 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2017

Registered at 1009 MAITLAND CENTER COMMONS BLVD STE 212, MAITLAND, FL 327517270 (Tel: 4076363535)

📍
Updated Business Mailing Address April 26, 2017

Registered at 1009 MAITLAND CENTER COMMONS BLVD STE 212, MAITLAND, FL 327517270 (Tel: 4076363535)

👤
Provider Name / Credentials Updated April 26, 2017

Recorded as TANIA JOHNSON, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2017

Social Worker (License #ISW 8612 in FL)

NPI Profile Active July 19, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2013

Registered at 3270 SUNTREE BLVD STE 101, MELBOURNE, FL 329407540 (Tel: 3216107949)

📍
Updated Business Mailing Address July 19, 2013

Registered at 6955 BRIGGS AVE, COCOA, FL 329273617 (Tel: 3212137117)

👤
Provider Name / Credentials Updated July 19, 2013

Recorded as TANIA JOHNSON, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2013

Social Worker

🟢
Initial NPI Registration & Enumeration May 10, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Tania Johnson. Be the first to share your experience!

Sign in to leave a review for Tania Johnson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1659716165
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2013
Last Update: June 13, 2022
Deactivation Date: May 04, 2022
Sole Proprietor: Yes

Mailing Address

5355 Date Palm St

Cocoa, FL 329272057

Phone: 3212137117

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.