Tiffany Suzanne Martin, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2011024378 Issued in MO

Practice address

505 S Kentucky Ave
Suite D
Sedalia, MO 65301-4254

Phone

(660) 232-1107

NPI assigned

Oct 15, 2009

Last updated

Jan 16, 2015By 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

Enrolled in MO

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deer Oaks Mental Health Associates PC

  • Clinical Psychologist
  • Las Cruces, NM
  • NPI 1134175763

  MO

  Medicare reassignment NPD
• Alter Ego Counseling

  • Clinical Social Worker
  • Sedalia, MO
  • NPI 1487009361
  NPD (past) Authorized official
• Transformative Effects LLC

  • Clinical Social Worker
  • Lee's Summit, MO
  • NPI 1104296193
  NPD (past)

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1457686990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S KENTUCKY AVE",
            "address_2": "SUITE D",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653014254",
            "telephone_number": "660-232-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S KENTUCKY AVE",
            "address_2": "SUITE D",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653014254",
            "telephone_number": "660-232-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TIFFANY",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2011024378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Morgan Marcum, FNP-BC
• Henry C. Marquez, M.D.
• Marsha Jane Kranichfield (LifeSupport Interventions)
• Martin Group Care Home
• Joann Martin, APRN, CPNP
• Kayla Lorynn Mather, CNP
• Braeden Mathur, DDS
• Casey Eisenhower McCluskie, DC
• Maureen Ann McConnell, PT
• Frances H McKee, APRN, FNP-C

• Clinical Social Worker in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.