Tiffany C Mylett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

52444 Issued in TX

Practice address

751 E Debbie LN Ste 105
Mansfield, TX 76063-2955

Phone

(682) 422-9140

Fax

(682) 258-0441

NPI assigned

Sep 26, 2008

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

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.

Opted out of Medicare

Yes, effective Sep 26, 2023 through Sep 26, 2027

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tri-S Counseling & Education

  • Clinical Social Worker
  • Fort Worth, TX
  • NPI 1215189907
  NPD (past)

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1053561951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 E DEBBIE LN STE 105",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632955",
            "telephone_number": "682-422-9140",
            "fax_number": "682-258-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 E DEBBIE LN STE 105",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632955",
            "telephone_number": "682-422-9140",
            "fax_number": "682-258-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYLETT",
        "first_name": "TIFFANY",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Katie Nagel, MSN, RN, IBCLC
• Nams Mental Health LLC
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• Clinical Social Worker in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.