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General NPI Number Information
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NPI Number | 1366068082
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Entity Type | Individual
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Provider Name | TIFFANY M SIEFKEN LCSW/LISW
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Gender | Female
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Dates
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Enumeration Date | 06/18/2020
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 2244 MILES HOUSE AVE APT 108
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City | FORT COLLINS
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State | CO
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Zip | 80525-4191
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Country | US
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Telephone | 319-316-2262
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Fax | 888-375-1723
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Provider Business Mailing Address
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Address Line | 2244 MILES HOUSE AVE APT 108
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City | FORT COLLINS
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State | CO
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Zip | 80525-4191
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Country | US
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Telephone | 319-316-2262
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Fax | 888-375-1723
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.028517
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 100864
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 09930293
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License Number State | CO
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