SIMONE JOHNSON LCSW
NPI 1760455570
Social Worker in New Iberia, LA
NPI Status: Active since February 10, 2006
Contact Information
611 W ADMIRAL DOYLE DR
NEW IBERIA, LA
ZIP 70560
Phone: (337) 373-0002
Fax: (337) 373-0129
- Individual
- Female
- Years of Experience 51
- Social Worker
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About SIMONE JOHNSON
This page provides the complete NPI Profile along with additional information for Simone Johnson, a provider established in New Iberia, Louisiana with a medical specialization in Social Worker and more than 51 years of experience. The healthcare provider is registered in the NPI registry with number 1760455570 assigned on February 2006. The practitioner's primary taxonomy code is 104100000X with license number 1166 (LA). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1760455570
- Provider Name
- SIMONE JOHNSON LCSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 611 W ADMIRAL DOYLE DR NEW IBERIA, LA 70560
- Location Phone
- (337) 373-0002
- Location Fax
- (337) 373-0129
- Mailing Address
- PO BOX 1254 BROUSSARD, LA 70518
- Mailing Phone
- (337) 837-9837
- Mailing Fax
- (337) 373-0129
- Medical School Name
- OTHER
- Graduation Year
- 1975
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-10-2006
- Last Update Date
- 11-19-2010
- Code Navigator
A social worker like Simone Johnson helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1166
- License State
- LA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
- Blue Connect 80/60 $3200 (L) - POS
- Blue Connect 80/60 $3200 (N) - POS
- Blue Connect 80/60 $3200 (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (L) - POS
- Essential Bronze 6500 - POS
- Essential Gold 1500 - POS
- Freedom Silver 4000 - POS
- Savings Bronze 7700 - POS
- Standard Bronze 7500 - POS
- Standard Gold 1500 - POS
- Standard Silver 5000 - POS
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - EPO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Advantage ($5 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1166 | OTHER (01) | LA | SOCIAL WORKER |
Medicare Participation & PECOS Enrollment Status
Simone Johnson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Simone Johnson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7517928690
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20041021000937
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Psychiatric diagnostic evaluation
Psychotherapy, 30 minutes
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
This service was performed 14 times for 13 patientsPsychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
This service was performed 105 times for 29 patientsReviews for SIMONE JOHNSON LCSW
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 6 | 0 | 4 | 5 | 5 | 5 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 8 | 5 | 10 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 8 + 5 + 1 + 0 + 5 + 1 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1760455570 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114961646 | MICHAEL ROY ALLEN LCSW Individual | Social Worker (Clinical) | 611 W ADMIRAL DOYLE DR NEW IBERIA, LA 70560 (337) 373-0002 |
| 1578593364 | MRS. MARELLA MAE FUSELIER LAC Individual | Counselor (Addiction (Substance Use Disorder)) | 611 W ADMIRAL DOYLE DR NEW IBERIA, LA 70560 (337) 373-2135 |
| 1083644868 | MRS. VICKIE ANN SIMON RN AND LAC Individual | Registered Nurse | 611 W ADMIRAL DOYLE DR NEW IBERIA, LA 70560 (337) 373-0002 |
| 1689719262 | MRS. CHARLOTTE ANN TELLEZ RN Individual | Registered Nurse (General Practice) | 611 W ADMIRAL DOYLE DR NEW IBERIA, LA 70560 (337) 373-0002 |
| 1073716577 | VALARIE PRINCE LAC Individual | Counselor (Addiction (Substance Use Disorder)) | 611 W ADMIRAL DOYLE DR NEW IBERIA, LA 70560 (337) 373-2135 |
| 1467657411 | MS. SUZAN K CHATMAN LAC Individual | Counselor (Addiction (Substance Use Disorder)) | 611 W ADMIRAL DOYLE DR NEW IBERIA, LA 70560 (337) 373-2135 |
| 1083760003 | DEPARTMENT OF HEALTH AND HOSPITALS Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 611 W ADMIRAL DOYLE DR NEW IBERIA, LA 70560 (337) 373-0002 |
| 1144260464 | DEPARTMENT OF HEALTH AND HOSPITALS Organization | Counselor (Addiction (Substance Use Disorder)) | 611 W ADMIRAL DOYLE DR NEW IBERIA, LA 70560 (337) 373-0002 |
| 1710020730 | MS. ELLEN H DEATON L.C.S.W. Individual | Social Worker (Clinical) | 611 W ADMIRAL DOYLE DR NEW IBERIA BEHAVIORAL HEALTH CLINIC NEW IBERIA, LA 70560 (337) 373-0002 |
| 1578619904 | EASTERN LOUISIANA MENTAL HEALTH Organization | Counselor (Mental Health) | 611 W ADMIRAL DOYLE DR NEW IBERIA, LA 70560 (337) 373-0002 |
| 1730235169 | EASTERN LOUISIANA MENTAL HEALTH Organization | Registered Nurse | 611 W ADMIRAL DOYLE DR NEW IBERIA, LA 70560 (337) 363-0002 |
| 1477080927 | KATHLEEN MARIE SHAW PLPC Individual | Counselor (Professional) | 611 W ADMIRAL DOYLE DR NEW IBERIA, LA 70560 (337) 373-0002 |
| 1407623788 | LADAYSHEA RANAE SADDLER LPN Individual | Licensed Practical Nurse | 611 W ADMIRAL DOYLE DR NEW IBERIA, LA 70560 (337) 373-0002 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760455570, enumerated in the NPI registry as an "individual" on February 10, 2006
The provider is located at 611 W Admiral Doyle Dr New Iberia, La 70560 and the phone number is (337) 373-0002
The provider's speciality is Social Worker with taxonomy code 104100000X
The provider has more than 51 years of experience.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
The most common procedures or services performed by this practitioner are: Psychiatric diagnostic evaluation and Psychotherapy, 30 minutes.
This NPI record was last updated on February 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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