Individual provider Active NPI

Tiffany Masimore, LCSW-C

  • Clinical Social Worker
  • Westminster, MD
National Provider Identifier
1346421716
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15768 Issued in MD
Practice address
59 Kate Wagner Rd
Westminster, MD 21157-6957
Phone
(443) 244-8689
NPI assigned
Nov 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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 15768 MD Primary

Addresses

Primary practice location

59 Kate Wagner Rd
Westminster, MD 21157-6957

Mailing address

59 Kate Wagner Rd
Westminster, MD 21157-6957
Phone (443) 244-8689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150120001578 MD Practitioner - Clinical Social Worker 5193049278 Reassigns benefits to 2 organizations
I20220819000079 PA Practitioner - Clinical Social Worker 5193049278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

104 N Main St
Union Bridge, MD 21791-9102
Phone (443) 541-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foundation Center LLC Clinical CurrentSince Nov 8, 2022 Accepting new patients
Bowman and Associates, LLC CurrentSince Jul 1, 2022 Accepting new patients
Carroll County Youth Service Bureau, Inc. CurrentSince Jan 1, 2015 Accepting new patients
Alliance Primary Care Past Accepting new patients

Locations

59 Kate Wagner Rd
Westminster, MD 21157
Phone (410) 596-1755

327 Broadway
Hanover, PA 17331
Phone (717) 632-1800

Organizations & group practices 4

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": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1346421716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 KATE WAGNER RD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576957",
            "telephone_number": "443-244-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 KATE WAGNER RD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576957",
            "telephone_number": "443-244-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASIMORE",
        "first_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.