Individual provider Active NPI

Tiffany M Siefken, LCSW/LISW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1366068082
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09930293 Issued in CO
Practice address
2244 Miles House Ave Apt 108
Fort Collins, CO 80525-4191
Phone
(319) 316-2262
Fax
(888) 375-1723
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.028517 IL
Clinical Social Worker 1041C0700X 100864 IA
Clinical Social Worker 1041C0700X 09930293 CO Primary

Addresses

Primary practice location

2244 Miles House Ave Apt 108
Fort Collins, CO 80525-4191

Mailing address

2244 Miles House Ave Apt 108
Fort Collins, CO 80525-4191
Phone (319) 316-2262

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
09930293COMDClinical Social Worker
100864IAMDClinical Social Worker
149.028517ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Holistic Healing Center, LLC CurrentSince Mar 31, 2024 Accepting new patients

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": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1366068082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 MILES HOUSE AVE APT 108",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254191",
            "telephone_number": "319-316-2262",
            "fax_number": "888-375-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 MILES HOUSE AVE APT 108",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254191",
            "telephone_number": "319-316-2262",
            "fax_number": "888-375-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEFKEN",
        "first_name": "TIFFANY",
        "middle_name": "M",
        "credential": "LCSW/LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.028517",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "100864",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09930293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.