Individual provider Active NPI

Tiffany P Woelfel

  • Clinical Social Worker
  • Olympia, WA
National Provider Identifier
1366954471
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
60784501 Issued in WA
Practice address
6700 Martin Way E Ste 117
Olympia, WA 98516-5586
Phone
(360) 413-6910
NPI assigned
Oct 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 60784501 WA Primary

Addresses

Primary practice location

6700 Martin Way E Ste 117
Olympia, WA 98516-5586

Mailing address

15431 Westshore Dr SE
Yelm, WA 98597-9121
Phone (425) 891-7243

Other practice location 1

4804 Lacey Blvd SE
Lacey, WA 98503-5733
Phone (360) 799-5782

Other names 1

  • Mrs. Tiffany P Chhuom Other name

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
60784501WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366954471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15431 WESTSHORE DR SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985979121",
            "telephone_number": "425-891-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 MARTIN WAY E STE 117",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165586",
            "telephone_number": "360-413-6910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4804 Lacey Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985035733",
            "country_code": "US",
            "telephone_number": "360-799-5782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOELFEL",
        "first_name": "TIFFANY",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "60784501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "CHHUOM",
            "middle_name": "P",
            "prefix": "MRS.",
            "credential": "LSWAIC, CDP-T",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.