Tiffany Cortese
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · San Leandro, CA
NPI 1104307479 · NPPES record last updated Aug 24, 2018
Key facts
- NPI
- 1104307479
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 85092 (CA)
- Practice address
- 2275 Arlington Dr
San Leandro, CA 94578-1132 - Phone
- (510) 317-1444
- NPI assigned
- Aug 24, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85092 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honey & Twine Counseling | Mental Health | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | 85092 | CA | |
| Social Worker | 104100000X | 85092 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 85092 | CA | Yes |
Addresses
Primary practice location
2275 Arlington Dr
San Leandro, CA 94578-1132
Mailing address
2275 Arlington Dr
San Leandro, CA 94578-1132
Phone (510) 317-1444
Other providers in San Leandro, CA
- Diana M Correa
- Sergio Correa
- Tessa Corrie
- Diana Catalina Cortes
- Kasey Dawn Cortese
- Natalia M Cortez
- Omar Ventura Cortez
- Gabriella Costa
- Sophia Costa
- Costco Wholesale Corporation
All providers in San Leandro, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.