TIFFANY SHEREE SHAW (NPI# 1063649374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063649374 |
| Entity Type | Individual |
| Full Name | TIFFANY SHEREE SHAW |
| Credential | LPC, NCC, LCAS |
| Practice Address |
751 S Main St Suite 8 Raeford NC 28376-3258 |
| Mailing Address |
946 Mockingbird Hill Rd Raeford NC 28376-6363 |
| Practice Telephone | 9102614635 |
| Mailing Telephone | 9102614635 |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2014-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2075 | NC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
7366 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
7366 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275036964 | Tiffany Shaw | Nurse Practitioner | 3338 Dogwood Dr, Atlanta, GA 30354-1440 | 2018-03-09 |
| 1689027039 | Tiffany Shaw | Specialist/Technologist | 1200 Boyd Rd, Azle, TX 76020-2522 | 2016-07-21 |
| 1427439108 | Tiffany Shaw | Day Training/Habilitation Specialist | 1618 Indiana Ave, Alamogordo, NM 88310-6670 | 2015-06-17 |
| 1518355296 | Tiffany Shaw | Behavioral Analyst | 4118 N Clinton St, Fort Wayne, IN 46805-1210 | 2015-01-02 |
| 1700297835 | Tiffany Shaw | Behavioral Analyst | 52 Beach Rd, Massapequa, NY 11758-6613 | 2014-05-12 |
| 1407199722 | Tiffany Yi-jia Shaw | Student in an Organized Health Care Education/Training Program | 4150 V St # 1110, Sacramento, CA 95817 | 2013-04-04 |
| 1689991473 | Tiffany L Shaw | Social Worker | 604 Solarex Ct, Suite 201, Frederick, MD 21703-7005 | 2010-05-03 |
| Street Address |
751 S MAIN ST SUITE 8 |
| City | RAEFORD |
| State | NC |
| Zip Code | 28376-3258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962520635 | Divine Home Care, LLC | Home Health | 751 S Main St, Suite B, Raeford, NC 28376-3238 | 2007-03-27 |
| 1558596106 | Renewing Hope Adult Services LLC. | Case Management | 751 S Main St, Suite B, Raeford, NC 28376-3258 | 2009-05-27 |
| 1366611097 | Anthony Vincent Santangelo | Chiropractor | 751 S Main St, Raeford, NC 28376-3258 | 2008-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185104 | Elite Supply Services, Inc. | Durable Medical Equipment & Medical Supplies | 2148 Bus-us 401, Raeford, NC 28376 | 2020-05-18 |
| 1205485695 | Brenda P Gregorio | Technician | 297 Gregorios Ln, Raeford, NC 28376 | 2019-09-09 |
| 1083197115 | Jennifer Picerno Bowyer | Nurse Practitioner | 929 Prospect Ave., Raeford, NC 28376 | 2018-09-14 |
| 1730694746 | Embassy Health Network | Counselor | 2148 Hwy 401 Business, Raeford, NC 28376 | 2017-12-13 |
| 1508398991 | Rockfish Pharmacy Inc | Pharmacy | 221 Flagstone Lane, Raeford, NC 28376 | 2017-04-03 |
| 1205281235 | William Fiebig | Nurse Practitioner | Hoke Hospital, 210 Medical Pavilion Drive, Raeford, NC 28376 | 2016-04-27 |
| 1306200647 | Tia Hart Community Recovery Program | Community/Behavioral Health | 2188 A Us 401 Business, Raeford, NC 28376 | 2016-04-13 |
| 1508240631 | Integrated Mental Health Services Agency Inc | Community/Behavioral Health | 2188-a Hwy 401 Business, Raeford, NC 28376 | 2015-07-18 |
| 1649658287 | Divine Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 320 Birch St, Raeford, NC 28376 | 2015-05-15 |
| 1992192298 | David Abdulhaqq | Counselor | 225 Aggies Lane, Raeford, NC 28376 | 2015-04-24 |
| Find all providers in zip 28376 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407335136 | Across Milestones Support Services, LLC | Counselor | 512 Harris Ave, Raeford, NC 28376-3114 | 2018-08-13 |
| 1730694746 | Embassy Health Network | Counselor | 2148 Hwy 401 Business, Raeford, NC 28376 | 2017-12-13 |
| 1174983829 | Eva Jones | Counselor | 2295 N Horace Walters Rd, Raeford, NC 28376-7587 | 2016-02-23 |
| 1851596605 | Jewel Vanessa Mcneill | Counselor | 403 E Central Ave, Raeford, NC 28376-2911 | 2007-06-20 |
| 1588876379 | Premier Healthcare Services Inc | Counselor | 1892 Turnpike Rd, Raeford, NC 28376 | 2007-05-04 |
| 1316010234 | Edward Eugene Bessant | Counselor | 4989 Rockfish Rd, Raeford, NC 28376-8355 | 2006-11-16 |
| 1609886076 | George Henry Elliott | Counselor | 132 W Elwood Ave, Raeford, NC 28376-2802 | 2006-08-09 |
| 1114538345 | Clear Cut Counseling LLC | Counselor | 284 Northwoods Dr, Raeford, NC 28376-7986 | 2020-08-11 |
| 1760014211 | Elizabeth Ann Watson | Counselor | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2020-02-12 |
| 1386299006 | Joy Journey Professional Counseling & Life Coach,pllc | Counselor | 2295 N Horace Walters Rd, Raeford, NC 28376-7587 | 2019-08-08 |
| Find all providers in RAEFORD | ||||
Please comment or provide details below to improve the information on TIFFANY SHEREE SHAW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.