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NPI Code Detail

MEDICARE: MRS. TIFFANY TOPE LISW-S

MEDICARE: MRS. TIFFANY TOPE LISW-S
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 WorkerI.1200703-SUPVOH

General Provider Information

NPI Number : 1770956179
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TIFFANY TOPE LISW-S
Provider Business Mailing Address
First Line : 1100 ZEBULON AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43224-2758
Country : US
Telephone Number : 419-340-8265
Fax Number :
Provider Business Practice Location Address
First Line : 1751 E LONG ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43203-2045
Country : US
Telephone Number : 614-253-8050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2015
Last Update Date : 06/20/2023

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Directions to “ MRS. TIFFANY TOPE LISW-S” Practice Location

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