Individual provider Active NPI

Tiffany Nix, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1528629938
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149021144 Issued in IL
Practice address
1136 S Delano CT W Ste B201
Chicago, IL 60605-3734
Phone
(773) 726-8464
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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 149021144 IL Primary

Addresses

Primary practice location

1136 S Delano CT W Ste B201
Chicago, IL 60605-3734

Mailing address

6640 S University Ave
Chicago, IL 60637-4320

Other practice location 1

800 Main St Ste 210
Antioch, IL 60002-1578
Phone (847) 209-0356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NC, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190723001924 IL Practitioner - Clinical Social Worker 8729314117 Reassigns benefits to 5 organizations
I20240529003336 NC Practitioner - Clinical Social Worker 8729314117 Reassigns benefits to 1 organization
I20240626002273 TX Practitioner - Clinical Social Worker 8729314117 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149021144ILMDClinical Social Worker
111489TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince May 16, 2022 Accepting new patients
Guided Expressions LLC Clinical CurrentSince Jan 28, 2025 Accepting new patients
MHN Infusions Group LLC CurrentSince May 12, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Apr 17, 2024 Accepting new patients
Vitae Health Medical Illinois, PLLC Clinical CurrentSince May 1, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

818 E 63rd St
Chicago, IL 60637
Phone (872) 253-6064

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

5113 S Harper Ave
Fl 2
Chicago, IL 60615
Phone (312) 772-6798

1136 S Delano Ct W
Ste B201
Chicago, IL 60605
Phone (312) 248-0230

10124 S Kedzie Ave
Evergreen Pk, IL 60805
Phone (708) 636-9200

1560 Wall St
Ste 204
Naperville, IL 60563
Phone (630) 491-9749

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 5

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1528629938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6640 S UNIVERSITY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606374320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 S DELANO CT W STE B201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053734",
            "telephone_number": "773-726-8464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Main St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "IL",
            "postal_code": "600021578",
            "country_code": "US",
            "telephone_number": "847-209-0356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIX",
        "first_name": "TIFFANY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.