Tiffany Taite, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3708C Issued in AL

Practice address

4444 Demetropolis Rd
Mobile, AL 36619-9602

Phone

(251) 219-3900

NPI assigned

May 20, 2015

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwest Alabama Behavioral Health Care Systems

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroeville, AL
  • NPI 1881628162
  NPD (past)
• Southwest Alabama Mental Health/Mental Retardation Inc.

  • Community/Behavioral Health Agency
  • Grove Hill, AL
  • NPI 1104014554
  NPD (past)

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1174902423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 DEMETROPOLIS RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366199602",
            "telephone_number": "251-219-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 DEMETROPOLIS RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366199602",
            "telephone_number": "251-219-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 Clark St",
            "address_purpose": "LOCATION",
            "city": "Grove Hill",
            "state": "AL",
            "postal_code": "364513050",
            "country_code": "US",
            "telephone_number": "251-275-4165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAITE",
        "first_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-20",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3708C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maliha Tahir, MD
• Muhammad Tahir, MD, MS
• Sohaira Tahir, MD
• Ashley Tait, RN
• Shontal Monique Taite, LPN
• Yolanda Marie Taite
• Rachelanne Talatala
• Christina Marie Talerico, M.D.
• Jacquise Taliaferro, CRNP
• Adam C Talley, MD

• Clinical Social Worker in Mobile, AL
• Providers in Mobile, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.