Individual provider Active NPI

Tiffany Cook

  • Social Worker
  • Dublin, OH
National Provider Identifier
1619332079
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I2304209 Issued in OH
Practice address
5382 Paddock Falls Dr
Dublin, OH 43016-7606
Phone
(614) 271-4690
NPI assigned
Dec 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S1451236 OH
Social Worker 104100000X I2304209 OH Primary

Addresses

Primary practice location

5382 Paddock Falls Dr
Dublin, OH 43016-7606

Mailing address

5382 Paddock Falls Dr
Dublin, OH 43016-7606

Other practice location 1

700 Brooksedge Blvd
Westerville, OH 43081-2820
Phone (614) 882-9338 ext. 301

Other identifiers 1

IdentifierTypeStateIssuer
0200375MedicaidOH

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
I2304209OHMDSocial Worker
S1451236OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1619332079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5382 PADDOCK FALLS DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5382 PADDOCK FALLS DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167606",
            "telephone_number": "614-271-4690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Brooksedge Blvd",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430812820",
            "country_code": "US",
            "telephone_number": "614-882-9338 x301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1451236",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I2304209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0200375",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.