Tiffany Gleason, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4931656-3502 Issued in UT

Practice address

117 N. Freeman Ave
Boise City, OK 73933

Phone

(405) 548-5778

NPI assigned

Feb 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hopeful Oasis Counseling Services LLC

  • Clinical Social Worker
  • Boise City, OK
  • NPI 1073396651
  NPD Authorized official
• The Family Place Utah

  • Community/Behavioral Health Agency
  • Logan, UT
  • NPI 1326336447
  NPD (past)

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1003316225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N. FREEMAN AVE",
            "city": "BOISE CITY",
            "state": "OK",
            "postal_code": "73933",
            "telephone_number": "405-548-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N. FREEMAN AVE",
            "city": "BOISE CITY",
            "state": "OK",
            "postal_code": "73933",
            "telephone_number": "405-548-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "TIFFANY",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "4931656-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cimarron Memorial Hospital and Nursing Home
• Cimarron Memorial Hospital and Nursing Home
• Cimarron Memorial Hospital and Nursing Home
• Kenan Leroy Denten, DOCTOR OF PHARMACY
• Kaycie Raylynn Gilbreath, RN, FNP-C
• Hooker Pharmacy PLLC
• Hopeful Oasis Counseling Services LLC
• Amberley Neel, LD
• Jimmy Weaver, RPH
• Paul Edward Wheeler, M.D.

• Clinical Social Worker in Boise City, OK
• Providers in Boise City, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.