TIFFANY CLARK (NPI# 1467934240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467934240 |
| Entity Type | Individual |
| Full Name | TIFFANY CLARK |
| Practice Address |
1430 Main St Waltham MA 02451-1623 |
| Mailing Address |
23 Village Rock Ln Apt 21 Natick MA 01760-5715 |
| Practice Telephone | 7816475327 |
| Mailing Telephone | 6179355156 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
120811 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689226805 | Tiffany Renee Clark | Clinic/Center | 6632 Oaks Edge Dr, Zachary, LA 70791-3259 | 2019-07-09 |
| 1033621214 | Tiffany Clark | Occupational Therapy Assistant | 64 Bradford Cir, Sugar Land, TX 77479-2976 | 2017-10-28 |
| 1760831838 | Tiffany Lynea Clark | Occupational Therapist | 7463 S Quail Cir Apt 313, Littleton, CO 80127-4922 | 2016-06-08 |
| 1134590953 | Tiffany Clark | Case Manager/Care Coordinator | 4253 Crossover Rd., Fayetteville, AR 72703 | 2015-10-20 |
| 1639596398 | Tiffany Clark | Home Health Aide | 11830 Jenner Ln, Saint Louis, MO 63138-1212 | 2014-03-19 |
| 1558655498 | Tiffany Dawn Clark | Massage Therapist | 3951 Arrowhead Dr, Unit C, Medford, OR 97504-7257 | 2011-06-08 |
| 1689831539 | Tiffany Clark | Licensed Practical Nurse | 20331 Tracy Ave, Euclid, OH 44123-3040 | 2008-05-19 |
| 1750588307 | Tiffany Devon Clark | Physical Therapy Assistant | 432 Hermitage Dr., Danville, VA 24541 | 2007-06-28 |
| 1245844380 | Tiffany Clark | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-09-05 |
| 1194334011 | Tiffany Renee' Clark | Pharmacist | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-07-27 |
| Street Address |
1430 MAIN ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205814944 | Marion Levenson Ross | Social Worker | 1430 Main St, Waltham, MA 02451-1623 | 2006-01-04 |
| 1104456821 | Sophia Terry | Social Worker | 1430 Main St, Waltham, MA 02451-1623 | 2020-01-22 |
| 1720559255 | Beth S Soltzberg | Social Worker | 1430 Main St, Waltham, MA 02451-1623 | 2018-12-10 |
| 1134602147 | Carol Laibson | Social Worker | 1430 Main St, Waltham, MA 02451-1623 | 2018-09-14 |
| 1245711704 | Deborah Whitehill | Social Worker | 1430 Main St, Waltham, MA 02451-1623 | 2018-08-23 |
| 1205317823 | Diane Gardner | Social Worker | 1430 Main St, Waltham, MA 02451-1623 | 2018-08-22 |
| 1871073221 | Deborah Winsor Conley | Social Worker | 1430 Main St, Waltham, MA 02451-1623 | 2018-08-15 |
| 1275012734 | Betsy Hochberg | Social Worker | 1430 Main St, Waltham, MA 02451-1623 | 2018-08-07 |
| 1336627231 | Carol Sheingold | Social Worker | 1430 Main St, Waltham, MA 02451-1623 | 2018-08-02 |
| 1831676741 | Joanne Peskowitz | Social Worker | 1430 Main St, Waltham, MA 02451-1623 | 2018-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082945 | Natalie Pierpont Waggaman | Social Worker | 34 Hamilton Rd, Waltham, MA 02453-1516 | 2020-10-28 |
| 1528527033 | Kelly Fanty | Social Worker | 355 Waverly Oaks Rd Ste 100, Waltham, MA 02452-8480 | 2019-03-14 |
| 1578035721 | Sarah Elizabeth Teeven | Social Worker | 17 Linden Park Dr, Waltham, MA 02452-6216 | 2018-12-28 |
| 1588132682 | Lee Ann Walker Lowe | Social Worker | 99 Bright St # 2, Waltham, MA 02453-6580 | 2018-11-06 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1699240606 | Ronda Marie Randazzo | Social Worker | 309 Waverly Oaks Rd, Waltham, MA 02452-8443 | 2018-10-05 |
| 1518442870 | Jody O Gastfriend | Social Worker | 77 4th Ave, Waltham, MA 02451-7559 | 2018-10-02 |
| 1356826614 | Jill Mcnamara | Social Worker | 77 4th Ave Ste 500, Waltham, MA 02451-7559 | 2018-10-02 |
| 1124503792 | Janet Louise Mason | Social Worker | 88 Fuller St, Waltham, MA 02453-5841 | 2018-09-30 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| Find all providers in WALTHAM | ||||
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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.