Individual provider Active NPI

Tiffany Renee Foster

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1033607650
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P010408 Issued in NC
Practice address
3409 W Wendover Ave Ste I
Greensboro, NC 27407
Phone
(336) 897-2375
NPI assigned
Apr 30, 2018
Last updated
May 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P010408 NC Primary
School Social Worker 1041S0200X 1165218 NC

Addresses

Primary practice location

3409 W Wendover Ave Ste I
Greensboro, NC 27407

Mailing address

3409 W Wendover Ave Ste I
Greensboro, NC 27407-1579
Phone (336) 897-2375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912001219 NC Practitioner - Clinical Social Worker 2365982766 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P010408NCMDClinical Social Worker
1165218NCMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Authoracare Collective CurrentSince Apr 15, 2024 Accepting new patients
Authoracare Collective Clinical CurrentSince Apr 15, 2024 Accepting new patients

Locations

914 Chapel Hill Rd
Burlington, NC 27215
Phone (336) 532-0100

2500 Summit Ave
Greensboro, NC 27405
Phone (336) 621-2500

2504 Summit Ave
Greensboro, NC 27405
Phone (336) 621-2500

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1033607650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 W WENDOVER AVE STE I",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071579",
            "telephone_number": "336-897-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 W WENDOVER AVE STE I",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27407",
            "telephone_number": "336-897-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "TIFFANY",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010408",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NC",
            "license": "1165218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.