Active NPI
Tiffany Fannin, LISW, CDCA
- Clinical Social Worker
- Reynoldsburg, OH
National Provider Identifier
1609305226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 6895 E Main St
Reynoldsburg, OH 43068-2289 - Phone
- (614) 845-7500
- NPI assigned
- Jun 7, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
6895 E Main St
Reynoldsburg, OH 43068-2289
Mailing address
2989 Tree Bend Cir
Grove City, OH 43123-8263
Phone (614) 832-0447
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1609305226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2989 TREE BEND CIR",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431238263",
"telephone_number": "614-832-0447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6895 E MAIN ST",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430682289",
"telephone_number": "614-845-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANNIN",
"first_name": "TIFFANY",
"credential": "LISW, CDCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-07",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.