Individual provider Active NPI

Tiffany Nicole Pinnick, LMSW

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Essex, MD
National Provider Identifier
1285454827
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
31071 Issued in MD
Practice address
1103 Glemsford Rd Apt E
Essex, MD 21221-5530
Phone
(443) 522-7752
NPI assigned
Oct 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 31071 MD Primary

Addresses

Primary practice location

1103 Glemsford Rd Apt E
Essex, MD 21221-5530

Mailing address

1103 Glemsford Rd Apt E
Essex, MD 21221-5530
Phone (443) 522-7752

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31071MDMDMental Health Clinic/Center (Including Community Mental Health Center)

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1285454827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 GLEMSFORD RD APT E",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212215530",
            "telephone_number": "443-522-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 GLEMSFORD RD APT E",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212215530",
            "telephone_number": "443-522-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINNICK",
        "first_name": "TIFFANY",
        "middle_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "31071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.