Active NPI
Tiffany Shapiro
- Clinical Social Worker
- Ogden, UT
National Provider Identifier
1275157703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11775578-3501
- Practice address
- 707 24TH St Ste 1a
Ogden, UT 84401-2580 - Phone
- (801) 475-5225
- NPI assigned
- Jun 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11775578-3501 | UT | Primary |
Addresses
Primary practice location
707 24TH St Ste 1a
Ogden, UT 84401-2580
Mailing address
2127 N 600 E
North Ogden, UT 84414-2811
Phone (801) 682-3494
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8760003008007 | Medicaid | UT | |
| 260022408 | Other | UT | RAILROAD MEDCIARE |
| 000055266 | Other | UT | MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11775578-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogden Therapy Cooperative | Counselor | Current | Accepting new patients |
Locations
707 24th St
Ste 1A
Ogden, UT 84401
Phone (801) 475-5225
Organizations & group practices 1
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.
-
- Counselor
- Ogden, UT
- NPI 1811751126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1275157703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2127 N 600 E",
"city": "NORTH OGDEN",
"state": "UT",
"postal_code": "844142811",
"telephone_number": "801-682-3494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 24TH ST STE 1A",
"city": "OGDEN",
"state": "UT",
"postal_code": "844012580",
"telephone_number": "801-475-5225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "TIFFANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-01",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "11775578-3501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8760003008007",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDCIARE",
"identifier": "260022408",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "000055266",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.