Individual provider Active NPI

Tiffany A. McCarthy, LCSW

  • Clinical Social Worker
  • Norwalk, CT
National Provider Identifier
1275809154
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006771 Issued in CT
Practice address
166 East Ave Ste 204
Norwalk, CT 06851
Phone
(203) 526-4363
NPI assigned
Mar 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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 006771 CT Primary

Addresses

Primary practice location

166 East Ave Ste 204
Norwalk, CT 06851

Mailing address

166 East Ave Ste 204
Norwalk, CT 06851-5731
Phone (203) 526-4363

Other practice location 1

9 Mott Ave
Norwalk, CT 06850-3330
Phone (203) 855-8765 ext. 5312

Other practice location 2

166 East Ave Ste 204
Norwalk, CT 06851
Phone (203) 526-4363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20210309001962 CT Practitioner - Clinical Social Worker 1456767896 Practice locations: Norwalk, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

166 E Ave
Suite 204
Norwalk, CT 06851-5731
Phone (203) 526-4363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006771CTMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1275809154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 EAST AVE STE 204",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515731",
            "telephone_number": "203-526-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 EAST AVE STE 204",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06851",
            "telephone_number": "203-526-4363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Mott Ave",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068503330",
            "country_code": "US",
            "telephone_number": "203-855-8765 x5312",
            "fax_number": "203-838-3325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "166 East Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "06851",
            "country_code": "US",
            "telephone_number": "203-526-4363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "TIFFANY",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.