Active NPI
Tiffany Cook
- Social Worker
- Dublin, OH
National Provider Identifier
1619332079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I2304209
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0200375 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| I2304209 | OH | MD | Social Worker |
| S1451236 | OH | MD | Social 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.