Tiffany Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8042-C Issued in AR

Practice address

920 Medical Dr
Manila, AR 72442-8416

Phone

(870) 570-0358

Fax

(870) 570-0359

NPI assigned

Dec 4, 2018

Last updated

Sep 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tiffany Jackson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Delta Behavioral Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manila, AR
  • NPI 1720637085
  NPD

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1346710274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "MANILA",
            "state": "AR",
            "postal_code": "724420717",
            "telephone_number": "870-570-0358",
            "fax_number": "870-570-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MEDICAL DR",
            "city": "MANILA",
            "state": "AR",
            "postal_code": "724428416",
            "telephone_number": "870-570-0358",
            "fax_number": "870-570-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIFFANY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8042-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239034795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "JACKSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danna Scott Deaton, APRN
• Shaneyfelt Clinic
• Keri D. Shrable
• Hailey Renee Smith, PLMSW
• Heather Leigh Smith, APN
• Coty Sparks
• Jonathan Blane Sullinger, QBHP
• T W Wagner Inc
• T W Wagner Inc (Wagner Medical Clinic)
• Tonya Gayle Tatroe, LPC

• Clinical Social Worker in Manila, AR
• Providers in Manila, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.