Tiffany Ann Pruitt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2021004780 Issued in MO

Practice address

210 S Elm St
Nevada, MO 64772-3413

Phone

(417) 684-2644

Fax

(417) 682-5757

NPI assigned

May 27, 2019

Last updated

Feb 10, 2021By 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

Other names 1

• Tiffany Ann Price Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Compass Health IncGroup PAC ID 1951206754, 317 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Compass Health, Inc

  dba Compass Health Network

  • Community/Behavioral Health Agency
  • Clinton, MO
  • NPI 1285619494

  Clinical

  Medicare reassignment Care Compare group NPD
• Compass Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rolla, MO
  • NPI 1558258632
  NPD
• Allied Mental Health Associates, Inc.

  dba Allied Mental Health

  • Professional Counselor
  • Nevada, MO
  • NPI 1144205527

  Clinical

  NPD (past)
• Allied Mental Health Consultants LLC

  • Clinical Social Worker
  • Lamar, MO
  • NPI 1548596109
  NPD (past)
• Full Health Wellness Systems

  • Adult Mental Health Clinic/Center
  • Nevada, MO
  • NPI 1942865878
  NPD (past)

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

{
    "created_epoch": "1558915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1174180012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 BROADWAY ST",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647591758",
            "telephone_number": "417-682-5757",
            "fax_number": "417-682-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S ELM ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723413",
            "telephone_number": "417-684-2644",
            "fax_number": "417-682-5757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 Broadway St",
            "address_purpose": "LOCATION",
            "city": "LaMar",
            "state": "MO",
            "postal_code": "647591758",
            "country_code": "US",
            "telephone_number": "417-682-5757",
            "fax_number": "417-682-5757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 N Orange St",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "MO",
            "postal_code": "647309382",
            "country_code": "US",
            "telephone_number": "888-403-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-27",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021004780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "allied@keinet.net",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1107 Broadway St",
            "city": "LaMar",
            "state": "MO",
            "country_code": "US",
            "postal_code": "647591758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "PRICE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susanne Platt, L.C.S.W.
• Preferred Family Healthcare
• Preferred Family Healthcare
• Preferred Family Healthcare
• Premier Home Health Care, Inc.
• Jenna Lorraine Quest, RN,BSN
• Callie Randel, LMSW
• Heather Jean Randolph, LPC
• Mohammad A Rasheed, MD
• Kimberly D Redlich, LPC

• Clinical Social Worker in Nevada, MO
• Providers in Nevada, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.