Jeff Tiner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7449-LC Issued in ME

Practice address

66 State St
Portland, ME 04101-3751

Phone

(207) 781-8550

NPI assigned

May 23, 2016

Last updated

May 23, 2016By the provider in NPPES

Sex

Male

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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Catholic Charities Maine

  • Clinical Social Worker
  • Portland, ME
  • NPI 1013955947
  NPD
• Catholic Charities Maine

  • Dental Clinic/Center
  • Bath, ME
  • NPI 1114151180
  NPD (past)

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1073960753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CONGRESS ST",
            "address_2": "PO BOX 10660",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013638",
            "telephone_number": "207-781-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 STATE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013751",
            "telephone_number": "207-781-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINER",
        "first_name": "JEFF",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "7449-LC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lois Tiedeken, ANP
• Benjamin Tierney-Trevor, LCSW
• Danyelle M. Tierney, DO
• Linda RF Tiffany, LCPC, LADC
• Angela Pizzo Tillotson, FNP
• Jennifer M Tingley Prince, LCSW
• Karen Tinkham, RPH
• Laurel R Tinkham, LCPC
• Lori Michelle Tirado, LP
• Annya D Tisher, MD

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.