Active NPI
Tiffany Patterson, LCSW
- Clinical Social Worker
- Dover, DE
National Provider Identifier
1073987871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- Q1-0001364
- Practice address
- 9 E Loockerman St Ste 316
Dover, DE 19901-8305 - Phone
- (302) 401-1074
- Fax
- (302) 724-7777
- NPI assigned
- Nov 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Q1-0001364 | DE | Primary |
Addresses
Primary practice location
9 E Loockerman St Ste 316
Dover, DE 19901-8305
Mailing address
500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Phone (888) 880-9270
Other practice location 1
421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000
Phone (888) 880-9270
Other practice location 2
2012 Highway 160 W Ste 23
Fort Mill, SC 29708-8401
Phone (803) 305-0937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200148307 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q1-0001364 | DE | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542067200000",
"number": "1073987871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FAIRWAY DR STE 102",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411817",
"telephone_number": "888-880-9270",
"fax_number": "954-342-0273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 E LOOCKERMAN ST STE 316",
"city": "DOVER",
"state": "DE",
"postal_code": "199018305",
"telephone_number": "302-401-1074",
"fax_number": "302-724-7777"
}
],
"practiceLocations": [
{
"address_1": "421 Fayetteville St Ste 1100",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276013000",
"country_code": "US",
"telephone_number": "888-880-9270",
"fax_number": "954-342-0273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2012 Highway 160 W Ste 23",
"address_purpose": "LOCATION",
"city": "Fort Mill",
"state": "SC",
"postal_code": "297088401",
"country_code": "US",
"telephone_number": "803-305-0937",
"fax_number": "803-802-7534",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTERSON",
"first_name": "TIFFANY",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-17",
"last_updated": "2018-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q1-0001364",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200148307",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.