Individual provider Active NPI

Tiffany Green, MSW

  • Clinical Social Worker
  • Michigan City, IN
National Provider Identifier
1164837001
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008024A Issued in IN
Practice address
422 Franklin St Ste F
Michigan City, IN 46360-3385
Phone
(765) 288-1928
NPI assigned
Jun 30, 2014
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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 34008024A IN Primary

Addresses

Primary practice location

422 Franklin St Ste F
Michigan City, IN 46360-3385

Mailing address

240 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 288-1928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210318000943 IN Practitioner - Clinical Social Worker 1254748270 Reassigns benefits to 3 organizations
I20240521000540 KS Practitioner - Clinical Social Worker 1254748270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Margaret Mary Community Hospital IncGroup PAC ID 5193714335, shared by 7 NPIs, 70 clinicians
Nemaha Valley Community HospitalGroup PAC ID 2668383472, 23 clinicians

Practice addresses (Care Compare)

112 N Buckeye St
Osgood, IN 47037-1134
Phone (812) 689-3424

1600 Community Dr
Seneca, KS 66538-9739
Phone (785) 336-0439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret Mary Community Hospital, Inc CurrentSince Jun 1, 2022 Accepting new patients
Nemaha Valley Community Hospital CurrentSince Apr 1, 2024 Accepting new patients
Margaret Mary Community Hospital, Inc CurrentSince Jun 1, 2022 Accepting new patients
Nemaha Valley Community Hospital Current Accepting new patients
Meridian Health Services Corp. CurrentSince Mar 1, 2021 Accepting new patients
Margaret Mary Community Hospital Inc CurrentSince Jan 1, 2026 Accepting new patients
Nemaha Valley Community Hospital CurrentSince Apr 1, 2024 Accepting new patients
Meridian Health Services Corp CurrentSince Mar 1, 2021 Accepting new patients

Locations

24 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 376-3100

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

422 Franklin St
Ste F
Michigan City, IN 46360

240 N Tillotson Ave
Muncie, IN 47304

112 N Buckeye St
Osgood, IN 47037
Phone (812) 689-3424

1600 Community Dr
Seneca, KS 66538
Phone (785) 273-1720

Organizations & group practices 8

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": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1164837001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043988",
            "telephone_number": "765-288-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 FRANKLIN ST STE F",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603385",
            "telephone_number": "765-288-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008024A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

Verify at the official NPI Registry.