Active NPI
Tiffany L. Travers, LCSW-C
- Social Worker
- Salisbury, MD
National Provider Identifier
1275866154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 14226
- Practice address
- 100 E Carroll St
Salisbury, MD 21801-5422 - Phone
- (410) 546-6400
- NPI assigned
- Sep 10, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 14226 | MD | Primary |
Addresses
Primary practice location
100 E Carroll St
Salisbury, MD 21801-5422
Mailing address
100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 546-6400
Other practice location 1
201 Hall Hwy
Crisfield, MD 21817-1237
Phone (410) 968-1801
Other practice location 2
116 West Main Street
Suite 301
Salisbury, MD 21801
Phone (443) 859-8584
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068375200 | Medicaid | MD | |
| 119591300 | Medicaid | MD |
Other names 1
- Mrs. Tiffany Travers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14226 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidalhealth Specialty Care, LLC | Current | Accepting new patients |
Locations
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
200 E Vine St
Ste A
Salisbury, MD 21804
Phone (410) 543-7119
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.
-
- Medical Specialty Clinic/Center
- Salisbury, MD
- NPI 1619504735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1275866154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E CARROLL ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015422",
"telephone_number": "410-546-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E CARROLL ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015422",
"telephone_number": "410-546-6400"
}
],
"practiceLocations": [
{
"address_1": "201 Hall Hwy",
"address_purpose": "LOCATION",
"city": "Crisfield",
"state": "MD",
"postal_code": "218171237",
"country_code": "US",
"telephone_number": "410-968-1801",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "116 West Main Street",
"address_2": "Suite 301",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "21801",
"country_code": "US",
"telephone_number": "443-859-8584",
"fax_number": "443-859-8496",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAVERS",
"first_name": "TIFFANY",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-10",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "14226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "068375200",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119591300",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "TRAVERS",
"prefix": "MRS.",
"credential": "LCSW-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.