Individual provider Active NPI

Tiffany Seekri, MSW, LCSW

  • Clinical Social Worker
  • Kokomo, IN
National Provider Identifier
1073987632
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007461A Issued in IN
Practice address
1948 W Boulevard
Kokomo, IN 46902-6078
Phone
(765) 452-5437
Fax
(844) 684-6185
NPI assigned
Nov 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34007461A IN Primary

Addresses

Primary practice location

1948 W Boulevard
Kokomo, IN 46902-6078

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other practice location 1

194 E Southway Blvd
Kokomo, IN 46902-3650
Phone (765) 450-4843

Other practice location 2

322 N Main St
Kokomo, IN 46901-4622
Phone (765) 453-8555

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TSEEKRI332744@ECOMMUNITYDIRECT.COM Community Howard Regional Health Inc

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jan 2, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

Interoperability endpoints

  • Direct secure messaging: tseekri332744@ecommunitydirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1073987632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 W BOULEVARD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026078",
            "telephone_number": "765-452-5437",
            "fax_number": "844-684-6185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "194 E Southway Blvd",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469023650",
            "country_code": "US",
            "telephone_number": "765-450-4843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 N Main St",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469014622",
            "country_code": "US",
            "telephone_number": "765-453-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEEKRI",
        "first_name": "TIFFANY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007461A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TSEEKRI332744@ECOMMUNITYDIRECT.COM",
            "affiliation": "Y",
            "affiliationName": "Community Howard Regional Health Inc",
            "address_1": "322 N Main St",
            "city": "Kokomo",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469014622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.