Tiffany Green Thompson, LICSW-S, PIP, CDBT

Individual provider Active NPI Clinical Social Worker · Attalla, AL

NPI 1376258111 · NPPES record last updated Sep 9, 2026

Key facts

NPI
1376258111
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
5214C (AL)
Practice address
1239 Highway 77
Attalla, AL 35954-7093
Phone
(256) 907-1676
Fax
(256) 467-8504
NPI assigned
Jan 17, 2023
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5214CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Beginnings, LLC. Mental Health Current
since Jun 2, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X 5214C AL Yes
Clinical Social Worker 1041C0700X LICSW128664 MA

Addresses

Primary practice location

1239 Highway 77
Attalla, AL 35954-7093

Mailing address

1239 Highway 77
Attalla, AL 35954-7093
Phone (256) 907-1676

Other providers in Attalla, AL

All providers in Attalla, AL · Clinical Social Worker in Alabama

Sources for this page

Verify at the official NPI Registry.