Active NPI
Tiffany P Woelfel
- Clinical Social Worker
- Olympia, WA
National Provider Identifier
1366954471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 60784501
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60784501 | WA | MD | Clinical 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.