Individual provider Active NPI

Tiffany Trawick

  • Clinical Social Worker
  • Chandler, AZ
National Provider Identifier
1508218918
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-16040 Issued in AZ
Practice address
2653 W Knox Rd
Chandler, AZ 85224-3986
Phone
(602) 743-1504
NPI assigned
Jul 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-16040 AZ Primary

Addresses

Primary practice location

2653 W Knox Rd
Chandler, AZ 85224-3986

Mailing address

2653 W Knox Rd
Chandler, AZ 85224-3986
Phone (602) 743-1504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20260515001561 AZ Practitioner - Clinical Social Worker 6204305576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8400 S Kyrene Rd
Suite 116
Tempe, AZ 85284-2119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-16040AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany Trawick Counseling Services Clinical CurrentSince Mar 8, 2026 Accepting new patients

Locations

8400 S Kyrene Rd
Ste 116
Tempe, AZ 85284
Phone (480) 717-2403

Organizations & group practices 1

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": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1508218918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2653 W KNOX RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243986",
            "telephone_number": "602-743-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2653 W KNOX RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243986",
            "telephone_number": "602-743-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAWICK",
        "first_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-16040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.