MEDICARE: MS. TIFFANY N BROWN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	57262	TX

General Provider Information

NPI Number	:	1073460960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TIFFANY N BROWN

Provider Business Mailing Address
First Line	:	1226 SULLIVAN DR
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-7340
Country	:	US
Telephone Number	:	214-668-3550
Fax Number	:

Provider Business Practice Location Address
First Line	:	1226 SULLIVAN DR
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-7340
Country	:	US
Telephone Number	:	214-668-3550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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