Healthcare Provider Details

I. General information

NPI: 1144975210
Provider Name (Legal Business Name): TIFFANY CARRINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TIFFANY STEPP

II. Dates (important events)

Enumeration Date: 02/17/2022
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 NEW HOPE RD
PRINCETON WV
24740-2264
US

IV. Provider business mailing address

292 STROCK LN
PRINCETON WV
24739-9623
US

V. Phone/Fax

Practice location:
  • Phone: 681-282-5409
  • Fax:
Mailing address:
  • Phone: 304-887-5255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberDP00945428
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: