Individual provider Active NPI

Tiffany Gonzalez Lee

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1578302238
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22934 Issued in FL
Practice address
1350A N Gadsden St
Tallahassee, FL 32303-5614
Phone
(850) 290-2211
NPI assigned
May 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X SW22934 FL
School Social Worker 1041S0200X SW22934 FL
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW22934 FL Primary

Addresses

Primary practice location

1350A N Gadsden St
Tallahassee, FL 32303-5614

Mailing address

3513 Sunnyside Dr
Tallahassee, FL 32305-6964
Phone (850) 570-5553

Other practice location 1

470 Strong Rd
Quincy, FL 32351-6006
Phone (850) 875-9626

Other practice location 2

3513 Sunnyside Dr
Tallahassee, FL 32305-6964
Phone (850) 570-5553

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW22934FLMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Damron Counseling, LLC Multi-Specialty CurrentSince May 26, 2024 Accepting new patients

Locations

1350A N Gadsden St
Tallahassee, FL 32303
Phone (850) 290-2211

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1578302238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 SUNNYSIDE DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323056964",
            "telephone_number": "850-570-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350A N GADSDEN ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035614",
            "telephone_number": "850-290-2211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Strong Rd",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "FL",
            "postal_code": "323516006",
            "country_code": "US",
            "telephone_number": "850-875-9626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3513 Sunnyside Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323056964",
            "country_code": "US",
            "telephone_number": "850-570-5553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "TIFFANY",
        "middle_name": "GONZALEZ",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW22934",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "FL",
            "license": "SW22934",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.