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NPI Code Detail

MEDICARE: TIFFANY WELCH LCSW

MEDICARE:   TIFFANY  WELCH  LCSW
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 WorkerLCSW00001363KY

General Provider Information

NPI Number : 1568318046
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY WELCH LCSW
Provider Business Mailing Address
First Line : 2268 ICE HOUSE WAY
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-8637
Country : US
Telephone Number : 859-582-7539
Fax Number :
Provider Business Practice Location Address
First Line : 3493 LANSDOWNE DR STE 2
Second Line :
City : LEXINGTON
State : KY
Zip : 40517-1147
Country : US
Telephone Number : 859-582-7539
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2026
Last Update Date : 03/07/2026

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Directions to “ TIFFANY WELCH LCSW” Practice Location

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