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NPI Code Detail

MEDICARE: TIFFANI A. ROSE-WILHELM MSW, LISW

MEDICARE: TIFFANI A. ROSE-WILHELM MSW, LISW
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
11041C0700XClinical Social WorkerI.1700535OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083073761
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANI A. ROSE-WILHELM MSW, LISW
Provider Business Mailing Address
First Line : 855 S WALL ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43206-1921
Country : US
Telephone Number : 614-233-1483
Fax Number : 614-972-6200
Provider Business Practice Location Address
First Line : 855 S WALL ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43206-1921
Country : US
Telephone Number : 614-233-1483
Fax Number : 614-972-6200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2016
Last Update Date : 04/18/2025

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