Individual provider Active NPI

Tiffany Huddleston, LCSW

  • Clinical Social Worker
  • Carrollton, TX
National Provider Identifier
1285200808
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
41282 Issued in TX
Practice address
1001 E Hebron Pkwy Ste 118-252
Carrollton, TX 75010-1002
Phone
(469) 701-0443
Fax
(972) 695-4005
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 41282 TX Primary

Addresses

Primary practice location

1001 E Hebron Pkwy Ste 118-252
Carrollton, TX 75010-1002

Mailing address

3033 Phyllis LN
Dallas, TX 75234-6426
Phone (972) 836-8051

Other names 1

  • Tiffany Meyer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240209003962 TX Practitioner - Clinical Social Worker 3870936420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thinkspot Therapy and Training PLLCGroup PAC ID 1850743436, 5 clinicians

Practice addresses (Care Compare)

1001 E Hebron Pkwy
Suite 118 252
Carrollton, TX 75010-1002
Phone (469) 701-0443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41282TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thinkspot Therapy and Training, PLLC. Single Specialty CurrentSince Dec 14, 2023 Accepting new patients

Locations

1001 E Hebron Pkwy
Ste 118252
Carrollton, TX 75010
Phone (469) 701-0443

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1285200808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 PHYLLIS LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752346426",
            "telephone_number": "972-836-8051",
            "fax_number": "972-695-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E HEBRON PKWY STE 118-252",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101002",
            "telephone_number": "469-701-0443",
            "fax_number": "972-695-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDLESTON",
        "first_name": "TIFFANY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "41282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "MEYER",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.