Tiffany Christine Chepke, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007832 Issued in NC

Practice address

1585 Liberty Rd
Gold Hill, NC 28071-6656

Phone

(704) 213-2444

NPI assigned

Jul 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tiffany Christine Buie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2018 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1396090130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 LIBERTY RD",
            "city": "GOLD HILL",
            "state": "NC",
            "postal_code": "280710041",
            "telephone_number": "704-213-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 LIBERTY RD",
            "city": "GOLD HILL",
            "state": "NC",
            "postal_code": "280716656",
            "telephone_number": "704-213-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEPKE",
        "first_name": "TIFFANY",
        "middle_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "BUIE",
            "middle_name": "CHRISTINE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason Cline, ATC
• Starla Daniel
• Jack L Ellerbe Jr., MSW, LCAS
• Thomas A Hibbert, MA
• William Donovan Miller, LCSWA

• Clinical Social Worker in Gold Hill, NC
• Providers in Gold Hill, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.