MR. TIFFANY WILLIAMS (NPI# 1417297953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417297953 |
| Entity Type | Individual |
| Full Name | MR. TIFFANY WILLIAMS |
| Practice Address |
340 Main St Ste 910-2 Worcester MA 01608-1601 |
| Practice Telephone | 8573334525 |
| Mailing Telephone | 8573334525 |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2018-03-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172V00000X | Community Health Worker | MA | Other Service Providers | |
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers | ||
| N | 175T00000X | Peer Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 121 Shrewsbury St, Worcester, MA 016044604 | 5085799267 | |
| 42 Merrifield St, Worcester, MA 016055025 | (857) 333-4525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970994 | Tiffany Williams | Licensed Vocational Nurse | 1400 H G Mosley Pkwy Apt 1308, Longview, TX 75604-4448 | 2020-10-19 |
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1386280527 | Tiffany Williams | Counselor | 9914 I-30 Frontage, Little Rock, AR 72209 | 2019-11-22 |
| 1952866063 | Tiffany Ann Williams | Nurse Practitioner | 1223 Cabin Cv, Idaho Falls, ID 83404-8298 | 2019-02-02 |
| 1831666932 | Tiffany Williams | Local Education Agency (LEA) | 2465 Bonadent Dr Ste 3, Waterloo, NY 13165-4111 | 2018-10-26 |
| 1407322209 | Tiffany Michelle Williams | Nurse Practitioner | 7551 Youree Dr, Shreveport, LA 71105-5533 | 2018-10-18 |
| 1508342866 | Tiffany Williams | Counselor | 2990 N Perryville Rd Ste 2100b, Rockford, IL 61107-6814 | 2018-07-19 |
| 1023554482 | Tiffany Williams | Counselor | 500 1/2 E 1st Ave, Roselle, NJ 07203-1463 | 2017-01-10 |
| 1093167462 | Tiffany Williams | Counselor | 1814 St John Rd, Braxton, MS 39044-9470 | 2016-07-08 |
| 1972955763 | Tiffany Williams | Nurse Practitioner | 12 Arley Way Ste 102b, Bluffton, SC 29910-8860 | 2016-07-06 |
| Street Address |
340 MAIN ST STE 910-2 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01608-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
| 1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
| 1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
| 1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
| 1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
| 1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
| 1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
| 1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
| Find all providers in zip 01608 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322784 | Margaret Karimi | Case Manager/Care Coordinator | 376 Sunderland Rd Apt 23, Worcester, MA 01604-2512 | 2019-08-22 |
| 1326692260 | Farah Gay | Case Manager/Care Coordinator | 2 Duncannon Ave Apt 11, Worcester, MA 01604-5139 | 2019-07-29 |
| 1639608045 | Kim Marie Ceccarini | Case Manager/Care Coordinator | 11 Delaval Rd, Worcester, MA 01606 | 2017-06-08 |
| 1700149820 | Joanne Finnegan | Case Manager/Care Coordinator | 340 Main St Ste 819, Worcester, MA 01608-1665 | 2012-06-22 |
| 1851618896 | Debra A Schnare | Case Manager/Care Coordinator | 70 Elm St Ste 103, Worcester, MA 01609-2300 | 2010-04-30 |
| 1386975142 | William H Hockenhull | Case Manager/Care Coordinator | 70 Elm St, 103, Worcester, MA 01609-2300 | 2010-01-19 |
| 1871751578 | Laurie Ann Majka | Case Manager/Care Coordinator | 243 Millbury St, Worcester, MA 01610-2177 | 2008-05-29 |
| 1205998028 | Erica Elizabeth Rogan | Case Manager/Care Coordinator | 337 Main Street, Suite 320 South Bay Mental Health, Worcester, MA 01608 | 2006-12-15 |
| 1174189260 | Evan Polakowski | Case Manager/Care Coordinator | 29 E Mountain St, Worcester, MA 01606-1400 | 2019-05-14 |
| 1104300979 | Michelle White | Case Manager/Care Coordinator | 237 Millbury St, Worcester, MA 01610-2177 | 2018-09-18 |
| Find all providers in WORCESTER | ||||
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| 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.