Tiffany Dean Green

Primary specialty

Social WorkerTaxonomy code 104100000X

License

67634 Issued in TX

Practice address

633 E Fernhurst Dr Ste 1102
Katy, TX 77450-1592

Phone

(281) 940-8515

NPI assigned

Feb 17, 2020

Last updated

Feb 17, 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.

• Grove Crescent Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houston, TX
  • NPI 1003692096
  NPD

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1407489594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2379 BRIARWEST BLVD UNIT 131",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775638",
            "telephone_number": "713-829-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E FERNHURST DR STE 1102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501592",
            "telephone_number": "281-940-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TIFFANY",
        "middle_name": "DEAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "67634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Houston Hospice & Palliative Care, Inc.
• Greater Houston Imaging, PA
• Greater Houston Pediatric Dentistry Katy PLLC
• Green Trails Family Practice, P.a.
• Kira Lamar Green, OTR/L
• Greenbusch Pharmacy Inc (Greenbusch Pharmacy)
• Breana Greene
• Glennetta Greenlaw
• Richard J Gregoire, ATC, LAT
• Jennifer Gregory, MA, LMFT

• Social Worker in Katy, TX
• Providers in Katy, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.