TIFFANY RUSSELL (NPI# 1992150742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992150742 |
| Entity Type | Individual |
| Full Name | TIFFANY RUSSELL |
| Credential | LMSW |
| Practice Address |
210 E Main St Ste 16 Niles MI 49120-2376 |
| Mailing Address |
78 Sunset Ln Niles MI 49120-9344 |
| Practice Telephone | 5743236996 |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801106156 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 960 M 60 E, Cassopolis, MI 490319339 | 2694452451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891267365 | Tiffany Russell | Marriage & Family Therapist | 5629 W 13100 S, Herriman, UT 84096-6921 | 2018-12-21 |
| 1457749707 | Tiffany Russell | Student in an Organized Health Care Education/Training Program | 1522 14th Ave S, Grand Forks, ND 58201-5312 | 2015-01-08 |
| 1518308386 | Tiffany Omobola Russell | Pharmacist | 327 Hope Bay Loop, Apollo Beach, FL 33572-3533 | 2013-07-09 |
| 1245532944 | Tiffany Milan Russell | Chiropractor | 12080 Skyhawk Dr, Unit B, Waynesboro, PA 17268-8305 | 2010-12-01 |
| 1811525595 | Tiffany Lee Russell | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-03-30 |
| 1972155158 | Tiffany Sherrie Russell | Technician | 3175 S Eastern Ave, Las Vegas, NV 89169-3308 | 2019-07-09 |
| 1134487960 | Tiffany S. Russell | Specialist | 5 Remington Dr, Little Rock, AR 72204-8202 | 2012-04-30 |
| 1144529645 | Tiffany Russell | Community Health Worker | 120 S 24th St, Ste 100, Omaha, NE 68102-1213 | 2011-03-23 |
| 1124254123 | Tiffany E Russell | Internal Medicine | 87 Merchant Dr, Montrose, CO 81401-3015 | 2009-06-03 |
| Street Address |
210 E MAIN ST STE 16 |
| City | NILES |
| State | MI |
| Zip Code | 49120-2376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102673 | Authentic Life Center LLC | Social Worker | 210 E Main St Ste 16, Niles, MI 49120-2376 | 2020-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285652 | The Caerus Group LLC | Clinic/Center | 732 S. 11th St #197, Niles, MI 49120 | 2018-11-27 |
| 1306316971 | Vicki L Yarbro | Physical Therapist | 6 Longmeadow Village Dr. Suite 3, Niles, MI 49120 | 2018-11-27 |
| 1063831469 | Aaron Joseph Lanning | Nurse Practitioner | 42 N Saint Joseph Ave Ste 300, Niles, MI 49120 | 2014-04-14 |
| 1740601186 | Terrianne Klaeren | Occupational Therapist | 1009 Almaugus Drive, Niles, MI 49120 | 2014-01-03 |
| 1124469366 | All Needs Senior Services, Inc. | Home Health | 1723 Pucker Street Dr, Suite A, Niles, MI 49120 | 2013-07-16 |
| 1902105034 | Nile Family Pharmacy LLC | Pharmacy | 70 E. State St., Niles, MI 49120 | 2011-03-15 |
| 1629240734 | Karen L Palmer | Counselor | 115 S St Joseph Ave, Niles, MI 49120 | 2008-03-28 |
| 1124218391 | Melissa A Longley | Social Worker | 333 N. Second Street, Suite 303, Niles, MI 49120 | 2007-07-25 |
| 1841410727 | Periza Zaninovic | Dentist | 123 Marmont Street, Niles, MI 49120 | 2007-04-26 |
| 1477629087 | Stephen Williams Tankersley | Dentist | 226 S Lincoln Ave, Niles, MI 49120 | 2006-11-27 |
| Find all providers in zip 49120 | ||||
| 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 |
|---|---|---|---|---|
| 1568007839 | Catherine Marie Dye | Social Worker | 1640 Sunny Estates Dr, Niles, OH 44446-4104 | 2019-11-11 |
| 1447726484 | Barbara Harsch | Social Worker | 8200 N Oketo Ave, Niles, IL 60714-2514 | 2018-10-17 |
| 1114426533 | Anastasia Baran | Social Worker | 241 Golf Mill Ctr Ste 708, Niles, IL 60714-1208 | 2018-02-12 |
| 1710410956 | Grace Siekman | Social Worker | 1507 Valley View Dr, Niles, MI 49120-8739 | 2017-04-05 |
| 1427589613 | Christina Defilippis | Social Worker | 8055 N Prospect St, Niles, IL 60714-2742 | 2017-03-21 |
| 1821401969 | Rebecca Ross | Social Worker | 7338 W Breen St, Niles, IL 60714-2206 | 2014-06-06 |
| 1750704888 | Daniel Charles Smith | Social Worker | 241golf Mill Center Suite 708, Niles, IL 60714 | 2014-01-24 |
| 1992148548 | Tyler Goodwine | Social Worker | 7646 N Waukegan Rd, Niles, IL 60714-3242 | 2013-04-14 |
| 1184962763 | Yvonne Rochelle Mcclean | Social Worker | 8172 Chapel Rd, Niles, MI 49120-9038 | 2013-01-16 |
| 1013285055 | Nancy Gordon Nasby | Social Worker | 7657 N Olcott Ave, Niles, IL 60714-3117 | 2011-12-05 |
| Find all providers in NILES | ||||
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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.