Tiffany Chianti Rodgers, LCSW, BCABA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW7322 Issued in FL

Practice address

5967 Ridge Lake Cir
Vero Beach, FL 32967-5093

Phone

(772) 480-3490

NPI assigned

Aug 26, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Tiffany Chianti Banner Other name

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Change of Mind LLC

  • Mental Health Counselor
  • Port St Lucie, FL
  • NPI 1811443195
  Medicare reassignment NPD
• Whole Life Behavioral Health Services

  • Clinical Social Worker
  • Vero Beach, FL
  • NPI 1316696958
  NPD Authorized official

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1437583580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5967 RIDGE LAKE CIR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329675093",
            "telephone_number": "772-480-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5967 RIDGE LAKE CIR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329675093",
            "telephone_number": "772-480-3490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 9th Pl",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329606819",
            "country_code": "US",
            "telephone_number": "772-633-7814",
            "fax_number": "772-770-0077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "TIFFANY",
        "middle_name": "CHIANTI",
        "credential": "LCSW, BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "BACB372034",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW7322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "BANNER",
            "middle_name": "CHIANTI",
            "credential": "LCSW, BCABA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ronald Kirk Robinson, M.D.
• Tanya Wright Robinson
• James Albert Robison Jr., PSYD
• Laura Robles
• Marjorie Rodd, P.T.,CERT M.D.T.
• Andrea Irene Rodrigue, PTA
• Grettel Rodriguez Garcia
• Victor E Rodriguez-Viera, M.D.
• Cristina Rodriguez, MSPT
• Jose Anibal Rodriguez II

• Clinical Social Worker in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.