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NPI Code Detail

MEDICARE: MS. TIFFANY K SPAULDING WRONA LCSW-C

MEDICARE: MS. TIFFANY K SPAULDING WRONA LCSW-C
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 Worker16020MD

General Provider Information

NPI Number : 1427399120
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TIFFANY K SPAULDING WRONA LCSW-C
Provider Business Mailing Address
First Line : 3510 BRENBROOK DR
Second Line :
City : RANDALLSTOWN
State : MD
Zip : 21133-4902
Country : US
Telephone Number : 410-496-6441
Fax Number : 410-496-6448
Provider Business Practice Location Address
First Line : 3510 BRENBROOK DR
Second Line :
City : RANDALLSTOWN
State : MD
Zip : 21133-4902
Country : US
Telephone Number : 410-496-6441
Fax Number : 410-496-6448
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2013
Last Update Date : 12/11/2025

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