Active NPI
Tiffani Sylvain
- Clinical Social Worker
- Burlington, MA
National Provider Identifier
1528632288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 124109
- Practice address
- 41 Mall Rd
Burlington, MA 01805-0001 - Phone
- (781) 744-7779
- Fax
- (781) 744-2166
- NPI assigned
- May 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 124109 | MA | Primary |
Addresses
Primary practice location
41 Mall Rd
Burlington, MA 01805-0001
Mailing address
41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-7779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558392563 | Medicaid | MA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tiffani.sylvain@lahey.org | ||
| Direct Messaging Address | tiffani.sylvain@lahey.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124109 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1528632288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MALL RD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001",
"telephone_number": "781-744-7779",
"fax_number": "781-744-2166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 MALL RD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001",
"telephone_number": "781-744-7779",
"fax_number": "781-744-2166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYLVAIN",
"first_name": "TIFFANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-18",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "124109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558392563",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tiffani.sylvain@lahey.org",
"affiliation": "N",
"endpointDescription": "work email",
"address_1": "41 Mall Rd",
"city": "Burlington",
"state": "MA",
"country_code": "US",
"postal_code": "018050001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tiffani.sylvain@lahey.org",
"affiliation": "N",
"endpointDescription": "work email",
"address_1": "41 Mall Rd",
"city": "Burlington",
"state": "MA",
"country_code": "US",
"postal_code": "018050001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.