Organization Active NPI

Tiffany M. Castellanos, LLC

  • Clinical Social Worker
  • Carrboro, NC
National Provider Identifier
1508197229
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005374 Issued in NC
Legal business name
TIFFANY M. CASTELLANOS, LLC
Practice address
102 Ashe St
Carrboro, NC 27510-1706
Phone
(919) 360-1538
NPI assigned
Jan 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Tiffany Margaret Castellanos, LCSW
Title
Psychotherapist
Phone
(919) 360-1538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C005374 NC Primary

Addresses

Primary practice location

102 Ashe St
Carrboro, NC 27510-1706

Mailing address

102 Ashe St
Carrboro, NC 27510-1706
Phone (919) 360-1538

Other identifiers 1

IdentifierTypeStateIssuer
6106535MedicaidNC

National Provider Directory

National Provider Directory

Locations

102 Ashe St
Carrboro, NC 27510
Phone (919) 360-1538

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1508197229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ASHE ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101706",
            "telephone_number": "919-360-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ASHE ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101706",
            "telephone_number": "919-360-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY M. CASTELLANOS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "CASTELLANOS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "919-360-1538",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106535",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.