Individual provider Active NPI

Tiffany R. Saucer, DSW, LCSW.

  • Clinical Social Worker
  • Culver City, CA
National Provider Identifier
1144771932
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5901 Green Valley Cir Ste 405
Culver City, CA 90230-6971
Phone
(424) 266-7474
NPI assigned
Oct 17, 2016
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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 NU Primary

Addresses

Primary practice location

5901 Green Valley Cir Ste 405
Culver City, CA 90230-6971

Mailing address

100 Corporate Pointe Ste 270
Culver City, CA 90230-8735
Phone (424) 266-7472

Other practice location 1

200 Corporate Pointe Ste 50
Culver City, CA 90230-8726
Phone (424) 266-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200930000924 CA Practitioner - Clinical Social Worker 1951720671 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
93378CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Achievable Foundation CurrentSince Aug 1, 2020 Accepting new patients
The Achievable Foundation CurrentSince Mar 11, 2025 Accepting new patients

Locations

5901 Green Valley Cir
Ste 405
Culver City, CA 90230
Phone (424) 266-7472

100 Corporate Pointe
Ste 270
Los Angeles, CA 90230

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73523

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1144771932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CORPORATE POINTE STE 270",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902308735",
            "telephone_number": "424-266-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 GREEN VALLEY CIR STE 405",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306971",
            "telephone_number": "424-266-7474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Corporate Pointe Ste 50",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902308726",
            "country_code": "US",
            "telephone_number": "424-266-7474",
            "fax_number": "310-596-8268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUCER",
        "first_name": "TIFFANY",
        "middle_name": "R.",
        "name_prefix": "Miss",
        "credential": "DSW, LCSW.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.