Individual provider Active NPI

Tiffany Shapiro

  • Clinical Social Worker
  • Ogden, UT
National Provider Identifier
1275157703
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11775578-3501 Issued in UT
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

Updated by the provider on Feb 7, 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 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

IdentifierTypeStateIssuer
8760003008007MedicaidUT
260022408OtherUTRAILROAD MEDCIARE
000055266OtherUTMEDICARE 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

LicenseStateTypeSpecialty
11775578-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden Therapy Cooperative Counselor CurrentSince Feb 11, 2024 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.

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.

Verify at the official NPI Registry.