Tiffany Pearson

Primary specialty

Social WorkerTaxonomy code 104100000X

License

088474-1 Issued in NY

Practice address

810 Bayview Ave
Amityville, NY 11701-2033

Phone

(516) 782-1010

NPI assigned

Sep 30, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1003243403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 BAYVIEW AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012033",
            "telephone_number": "516-782-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 BAYVIEW AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012033",
            "telephone_number": "516-782-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2830 Pitkin Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112083220",
            "country_code": "US",
            "telephone_number": "718-235-8690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "088474-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Parker
• Diane Marie Parker, M.S., CCC/SLP
• Edria Parks
• Jitendra Patel, RPH
• Wittaya Payackapan, MD
• Yanique Peart
• Tayanee D Peay
• Jennifer Pena
• Pamela Pendergrast-Grayden, LMSW
• Frederick Victor Penna III, PHARMD

• Social Worker in Amityville, NY
• Providers in Amityville, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.