Tiffany Crystal Cordova, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L11027 Issued in OR

Practice address

24934 Fir Grove LN
Elmira, OR 97437-9751

Phone

(541) 234-3255

NPI assigned

Aug 18, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orchid Oakridge Clinic PCGroup PAC ID 3476786609, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tiffany.cordova.1@15142.direct.athenahealth.com
• FHIR API: https://api.qualifacts.org/api/fhir/c-f-d/r4/
• Direct secure messaging: tiffany.cordova.1@31614.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orchid Oakridge Clinic, P.C.

  • Rural Health Clinic/Center
  • Oakridge, OR
  • NPI 1588088983
  Medicare reassignment Care Compare group NPD
• Peacehealth

  • Critical Access Hospital
  • Cottage Grove, OR
  • NPI 1902892391
  Medicare reassignment NPD
• Peacehealth Medical Group

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1447207287

  Mental Health

  Medicare reassignment NPD
• Peacehealth Medical Group Cottage Grove

  • Multi-Specialty Clinic/Center
  • Creswell, OR
  • NPI 1780631267
  Medicare reassignment NPD
• Orchid Oakridge Clinic, PC

  • Primary Care Clinic/Center
  • Elmira, OR
  • NPI 1881274348
  NPD
• Peacehealth Medical Group

  • Birthing Clinic/Center
  • Springfield, OR
  • NPI 1881860856
  NPD
• Center for Family Development, Inc.

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1265609184
  NPD (past)
• Center for Family Development, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Eugene, OR
  • NPI 1538150388
  NPD (past)

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1679888366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24934 FIR GROVE LN",
            "city": "ELMIRA",
            "state": "OR",
            "postal_code": "974379751",
            "telephone_number": "541-234-3255",
            "fax_number": "541-858-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24934 FIR GROVE LN",
            "city": "ELMIRA",
            "state": "OR",
            "postal_code": "974379751",
            "telephone_number": "541-234-3255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 E 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013746",
            "country_code": "US",
            "telephone_number": "458-205-7085",
            "fax_number": "458-205-7089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1255 Hilyard St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013501",
            "country_code": "US",
            "telephone_number": "541-686-7376",
            "fax_number": "541-434-7498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Riverbend Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778800",
            "country_code": "US",
            "telephone_number": "541-222-2185",
            "fax_number": "541-222-2194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1258 High St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013238",
            "country_code": "US",
            "telephone_number": "541-342-8437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "71 Centennial Loop Ste A",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012443",
            "country_code": "US",
            "telephone_number": "541-505-8426",
            "fax_number": "541-515-6938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "OR",
            "postal_code": "974249700",
            "country_code": "US",
            "telephone_number": "541-767-5200",
            "fax_number": "541-767-5310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "TIFFANY",
        "middle_name": "CRYSTAL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500681069",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glen D Babcock, RN
• Sandra L Babcock, RN
• Genevieve Marie Birang, DO
• Elizabeth Brierly, LDM, CPM
• Pamela Joy Cary, MD
• Adam Cunningham
• Sterling Grant Ellsworth, PHD PC
• Jadzia Engle
• Margaret Martha Franklin, FNP
• Raylyn Hamar

• Clinical Social Worker in Elmira, OR
• Providers in Elmira, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.