Dr. Tiffany Zachery, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11337 Issued in LA

Legal business name

DR. TIFFANY ZACHERY, LLC

Doing business as

Dr. Tiffany Zachery, LCSW

Practice address

110 Travis Street
Suite 113
Lafayette, LA 70503-2452

Phone

(225) 614-2757

NPI assigned

Jan 14, 2019

Last updated

Jan 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tiffany Sharell Zachery, LCSWNPI 1033690102

Title

Owner

Phone

(337) 290-9868

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Tiffany Zachery, LCSW Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany Sharell Zachery, LCSW, PHD

  • Clinical Social Worker
  • Lafayette, LA
  • NPI 1033690102
  NPD Authorized official

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1619441565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62506",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705962506",
            "telephone_number": "337-290-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 TRAVIS STREET",
            "address_2": "SUITE 113",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032452",
            "telephone_number": "225-614-2757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Travis St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705032452",
            "country_code": "US",
            "telephone_number": "337-290-9868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Travis St Ste 113",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705032453",
            "country_code": "US",
            "telephone_number": "225-614-2757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Travis St Ste 113",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705032453",
            "country_code": "US",
            "telephone_number": "225-614-2757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. TIFFANY ZACHERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "ZACHERY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "SHARELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-290-9868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "11337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1033690102",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033690102",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Tiffany Zachery, LCSW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Tiffany Zachery, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.