Tiffany Ann Nelson

Primary specialty

Social WorkerTaxonomy code 104100000X

License

60730 Issued in TX

Practice address

2229 Sims Dr
Fort Worth, TX 76119-5544

Phone

(682) 215-9348

Fax

(682) 215-9348

NPI assigned

Jan 9, 2026

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

Other names 1

• Tiffany Ann Clark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1487511457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 SIMS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761195544",
            "telephone_number": "682-215-9348",
            "fax_number": "682-215-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2229 SIMS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761195544",
            "telephone_number": "682-215-9348",
            "fax_number": "682-215-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "TX",
            "license": "60730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "CLARK",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shelby Nelson, D.D.S., M.S.
• Sofia Grace Nelson, LPC-ASSOCIATE
• Steven Nelson, AGACNP-BC
• Sudon Michelle Nelson
• Thomas Kevin Nelson, D.O.
• Vanessa Nelson
• William B Nelson, MD
• Sarah Nembu, FNP
• Diaudra Nemons
• Scarlett Marie Nerios, NP

• Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.