Active NPI
Tiffany Shannon Allen-Duran, LCSW
- Clinical Social Worker
- Lufkin, TX
National Provider Identifier
1548357304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2937-C
- Practice address
- 1214 Ellis Ave
Lufkin, TX 75904-3326 - Phone
- (936) 637-0074
- Fax
- (936) 637-0081
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2937-C | NV | Primary |
Addresses
Primary practice location
1214 Ellis Ave
Lufkin, TX 75904-3326
Mailing address
1214 Ellis Ave
Lufkin, TX 75904-3326
Phone (936) 637-0074
Other practice location 1
2649 W. Horizon Ridge Pkwy #130
Henderson, NV 89052
Phone (702) 380-3290 ext. 2
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 |
|---|---|---|---|
| 2937-C | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1548357304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 ELLIS AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043326",
"telephone_number": "936-637-0074",
"fax_number": "936-637-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 ELLIS AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043326",
"telephone_number": "936-637-0074",
"fax_number": "936-637-0081"
}
],
"practiceLocations": [
{
"address_1": "2649 W. Horizon Ridge Pkwy #130",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "89052",
"country_code": "US",
"telephone_number": "702-380-3290 x2",
"fax_number": "702-796-9490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN-DURAN",
"first_name": "TIFFANY",
"middle_name": "SHANNON",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "2937-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.