Tiffany Marie Double, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

100628 Issued in NY

Practice address

1160K Pittsford Victor Road Ste 2-6
Pittsford, NY 14534-3825

Phone

(585) 204-0554

NPI assigned

Dec 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tiffany M Bombardo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• St Josephs Hospital Health Center

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1508815333
  NPD (past)

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1285394379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160K PITTSFORD VICTOR RD STE 2-6",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343825",
            "telephone_number": "585-204-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160K PITTSFORD VICTOR ROAD STE 2-6",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343825",
            "telephone_number": "585-204-0554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 Harrison St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132102305",
            "country_code": "US",
            "telephone_number": "315-464-3145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1880 E Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146222473",
            "country_code": "US",
            "telephone_number": "585-455-1544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "742 James St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132032017",
            "country_code": "US",
            "telephone_number": "315-703-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUBLE",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "100628",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "115200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "BOMBARDO",
            "middle_name": "M",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donald Londorf MD PC
• Samantha Rose Donatello, LCSW
• David Richard Donnelly, BCBA
• Samantha Violet Donowski
• Jack Michael Dorkhom, D.M.D.
• Caley Dougherty, FNP
• Dr. Anthony L. Ricci, DDS
• Dr. Nicholas Holub, Evolve Psychological Services, PLLC
• Dr. Todd Deneen - Psychological Services, PLLC
• Matthew Jon Driscoll, D.C.

• Clinical Social Worker in Pittsford, NY
• Providers in Pittsford, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.