Phyllis Tiffany, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0890000745 Issued in VT

Practice address

44 Main St
Suite 200
Richford, VT 05476-1153

Phone

(802) 255-5500

Fax

(802) 255-5509

NPI assigned

Nov 14, 2005

Last updated

Apr 11, 2008By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

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.

• The Richford Health Center Inc

  dba NOTCH Primary Care

  • Federally Qualified Health Center (FQHC)
  • Saint Albans, VT
  • NPI 1306592613
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1104807486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CORLISS RD",
            "city": "RICHFORD",
            "state": "VT",
            "postal_code": "054761259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MAIN ST",
            "address_2": "SUITE 200",
            "city": "RICHFORD",
            "state": "VT",
            "postal_code": "054761153",
            "telephone_number": "802-255-5500",
            "fax_number": "802-255-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIFFANY",
        "first_name": "PHYLLIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890000745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisha Tang, DDS
• The Richford Health Center Inc
• The Richford Health Center Inc. (Richford Dental Clinic)
• The Richford Health Center Inc. (NCSS Health Center)
• The Richford Health Center, Inc. (NOTCH Pharmacy)
• Town of Richford (Richford Ambulance Service)
• Martha Walker, P.A.
• Peter Myles Woolhouse

• Clinical Social Worker in Richford, VT
• Providers in Richford, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.