Tiffany Nicole Jefferson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011156 Issued in VA

Practice address

1028 Fallcreek Run
Chesapeake, VA 23322-2158

Phone

(757) 630-0800

NPI assigned

Jul 3, 2019

Last updated

Jul 3, 2019By 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 VA

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.

• City of Chesapeake

  • Community/Behavioral Health Agency
  • Chesapeake, VA
  • NPI 1073650099
  Medicare reassignment NPD
• Hampton Newport News Community Services Board

  • Community/Behavioral Health Agency
  • Hampton, VA
  • NPI 1659424448
  Medicare reassignment NPD
• City of Chesapeake

  dba City of Chesapeake Emergency Medical Services

  • Ambulance
  • Chesapeake, VA
  • NPI 1659385938
  NPD

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1467014944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 FALLCREEK RUN",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233222158",
            "telephone_number": "757-630-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 FALLCREEK RUN",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233222158",
            "telephone_number": "757-630-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "TIFFANY",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhamed Jasarevic, M.D.
• Anum Javaid, MD
• Jazzy Transportation Services, LLC
• Jefferson Solutions LLC (Jefferson Solutions)
• Deneasha Jefferson
• Jenesys Home Health LLC (Jenesys Home Health)
• Alicea R Jenkins, LPC
• Chad Edward Jenkins, D.C.
• Harry Eugene Jenkins, D.D.S.
• Jamie D Jenkins

• Clinical Social Worker in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.