Tiffany M Bloomer, LCSW
Individual provider Active NPI Clinical Social Worker · Price, UT
NPI 1467517847 · NPPES record last updated May 7, 2017
Key facts
- NPI
- 1467517847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 269707-3501 (UT)
- Practice address
- 1289 W 350 N
Price, UT 84501-4112 - Phone
- (435) 749-9944
- NPI assigned
- Dec 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha Center Social Work Counseling & Consultation Services, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 269707-3501 | UT | Yes |
Addresses
Primary practice location
1289 W 350 N
Price, UT 84501-4112
Mailing address
1289 W 350 N
Price, UT 84501-4112
Phone (435) 749-9944
Other providers in Price, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.