Tiffany Marie Devendorf, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

087441-1 Issued in NY

Practice address

98 N 2ND St
Fulton, NY 13069-1254

Phone

(315) 326-3555

Fax

(315) 326-3565

NPI assigned

Jan 30, 2013

Last updated

Dec 22, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1548508294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 N 2ND ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691254",
            "telephone_number": "315-326-3555",
            "fax_number": "315-326-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 N 2ND ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691254",
            "telephone_number": "315-326-3555",
            "fax_number": "315-326-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVENDORF",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087441-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Michele Demoors, SLP
• Amanda Demott
• Dental Health Solutions
• George Dermesropian
• Marie-Jeanne Desravines, M.D.
• David R Devito, D.D.S.
• Chalet Dewey-Flint, LCSW-R
• Michael R Diaz, D.O.
• Deanna Nicole Dietrich, PA-C
• Charlene Marie Dingman, LPN

• Clinical Social Worker in Fulton, NY
• Providers in Fulton, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.