Active NPI
Tiffany Harrison Anderson, LCSW
- Clinical Social Worker
- Orlando, FL
National Provider Identifier
1467199414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5020C
- Practice address
- 12301 Lake Underhill Rd Ste 215
Orlando, FL 32828-4511 - Phone
- (321) 235-0692
- Fax
- (321) 235-0694
- NPI assigned
- May 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5020C | AL | Primary |
Addresses
Primary practice location
12301 Lake Underhill Rd Ste 215
Orlando, FL 32828-4511
Mailing address
12301 Lake Underhill Rd Ste 215
Orlando, FL 32828-4511
Phone (321) 235-0692
Other practice location 1
12301 Lake Underhill Rd Ste 215
Orlando, FL 32828-4511
Phone (321) 235-0692
Other names 1
- Ms. Tiffany Lyn Harrison
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5020C | AL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care of Central Florida Inc | Clinical | Current | Accepting new patients |
| HPG Psychiatry, LLC | Clinical | Current | Accepting new patients |
Locations
12301 Lake Underhill Rd
Ste 215
Orlando, FL 32828
Phone 3212350692102
3564 E Avalon Park Blvd
Orlando, FL 32828
Phone (407) 405-4741
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1467199414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12301 LAKE UNDERHILL RD STE 215",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328284511",
"telephone_number": "321-235-0692",
"fax_number": "321-235-0694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12301 LAKE UNDERHILL RD STE 215",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328284511",
"telephone_number": "321-235-0692",
"fax_number": "321-235-0694"
}
],
"practiceLocations": [
{
"address_1": "12301 Lake Underhill Rd Ste 215",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328284511",
"country_code": "US",
"telephone_number": "321-235-0692",
"fax_number": "321-235-0694",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "TIFFANY",
"middle_name": "HARRISON",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-19",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "5020C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "HARRISON",
"middle_name": "LYN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.