Tiffany Jean Sparks-Mendoza, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

77726 Issued in CA

Practice address

4001 King Ave.
Corcoran, CA 93212

Phone

(559) 992-8800

NPI assigned

Sep 6, 2020

Last updated

Sep 6, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Corrections and Rehabilitation-Headquarters

  dba Corcoran State Prison Hospital Pharmacy

  • Pharmacy
  • Corcoran, CA
  • NPI 1376190876
  NPD
• CSP-Corcoran

  • Case Management Agency
  • Corcoran, CA
  • NPI 1265772198
  NPD (past)

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

{
    "created_epoch": "1599350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599350400000",
    "number": "1407460454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 KING AVE.",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "93212",
            "telephone_number": "559-992-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 KING AVE.",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "93212",
            "telephone_number": "559-992-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS-MENDOZA",
        "first_name": "TIFFANY",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-06",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "77726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Renee Sheffield, PSY.D.
• Shyam Bhaskar, M.D. Inc
• Getsemani Silva Diaz
• Kaitlyn J Silva Wood, PSYD
• Anita Maria Solis, SCHOOL NURSE
• Geraldine M Stearns
• Joseph E Suman, ASW
• Barry Swanson, P.A.
• Marc Zolla Talisman, MD
• Jonathan Reeves Tatomer, M.D.

• Clinical Social Worker in Corcoran, CA
• Providers in Corcoran, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2020; 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.