Breanna Jo Johnson, BA CADC
NPI 1063847473ActiveIndividual· Social Worker, Clinical· Mason City, IA
Social Worker, Clinical (BA CADC) with Prairie Ridge Integrated Behavioral Healthcare, practicing in Mason City, Iowa. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1063847473 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BA CADC |
| Sole proprietor | No |
| NPI issued | Sep 5, 2013 |
| Last updated in NPPES | Feb 27, 2024 |
| Certified by provider | Feb 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 107714 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (IA) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Prairie Ridge Integrated Behavioral HealthcareMason City, IA · 22 clinicians
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