Blake Jeffrey Johnson, LMSW
NPI 1396393021ActiveIndividual· Social Worker· Cedar Rapids, IA
Social Worker (LMSW) with Nystrom and Associates Ltd, practicing in Cedar Rapids, Iowa. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1396393021 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMSW |
| Sole proprietor | No |
| NPI issued | Aug 27, 2019 |
| Last updated in NPPES | Aug 27, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 096592 | 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); Practitioner - Clinical Social Worker (MN) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Nystrom and Associates LtdBaxter, MN · 590 clinicians
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All 67 social workers in Cedar Rapids · All social workers in Iowa