Organization Active NPI

Tiffany Chen

  • Clinical Social Worker
  • Pensacola, FL
National Provider Identifier
1396394540
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TIFFANY CHEN
Practice address
9300 Camberwell Rd
Pensacola, FL 32514-5837
Phone
(256) 658-2585
NPI assigned
Sep 10, 2019
Last updated
Sep 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

Name
Tiffany Chen, LCSWNPI 1962851139
Title
Clinical Director
Phone
(256) 658-2585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9300 Camberwell Rd
Pensacola, FL 32514-5837

Mailing address

6681 Bellview Pines Rd
Pensacola, FL 32526-9093
Phone (256) 658-2585

National Provider Directory

National Provider Directory

Locations

9300 Camberwell Rd
Pensacola, FL 32514
Phone (256) 658-2585

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1396394540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6681 BELLVIEW PINES RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325269093",
            "telephone_number": "256-658-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 CAMBERWELL RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145837",
            "telephone_number": "256-658-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY CHEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "256-658-2585",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.