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NPI Code Detail

MEDICARE: TIFFANY A HOLLIN WRIGHT LMSW

MEDICARE: TIFFANY A HOLLIN WRIGHT LMSW
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
1104100000XSocial Worker09030035VA

General Provider Information

NPI Number : 1104777853
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY A HOLLIN WRIGHT LMSW
Provider Business Mailing Address
First Line : 104 TUDOR RD
Second Line :
City : COLONIAL HEIGHTS
State : VA
Zip : 23834-1143
Country : US
Telephone Number : 804-805-4647
Fax Number :
Provider Business Practice Location Address
First Line : 84 SOUTHGATE SQ STE 1130
Second Line :
City : COLONIAL HEIGHTS
State : VA
Zip : 23834-3611
Country : US
Telephone Number : 804-805-4647
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ TIFFANY A HOLLIN WRIGHT LMSW” Practice Location

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