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NPI Code Detail

MEDICARE: TIFFANY CHEN LCSW

MEDICARE: TIFFANY CHEN 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 Worker14121FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962851139
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY CHEN LCSW
Provider Business Mailing Address
First Line : 6681 BELLVIEW PINES RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32526-9093
Country : US
Telephone Number : 850-466-8273
Fax Number :
Provider Business Practice Location Address
First Line : 112 W CERVANTES ST
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-3128
Country : US
Telephone Number : 850-466-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2016
Last Update Date : 06/26/2020

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Directions to “ TIFFANY CHEN LCSW” Practice Location

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