Tiffany May Harwood, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-09078 Issued in NM

Practice address

750 Signer Blvd
BLDG 554
Jbphh, HI 96853

Phone

(808) 220-2941

NPI assigned

Sep 15, 2011

Last updated

Jun 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1699057612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E ST STE 200",
            "city": "JBPHH",
            "state": "HI",
            "postal_code": "968535400",
            "telephone_number": "505-710-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 SIGNER BLVD",
            "address_2": "BLDG 554",
            "city": "JBPHH",
            "state": "HI",
            "postal_code": "96853",
            "telephone_number": "808-220-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARWOOD",
        "first_name": "TIFFANY",
        "middle_name": "MAY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-07696",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Gregg, RN
• Derek Allen Gresko, O.D.
• Catherine Rose Hanigan, PSYD
• Amy Harvey, PHARMD
• Lee H Harvis, DO
• Joyce Hooipo Heffernan
• Mary Jane Romona Henry, LPN
• Kathryn Elizabeth Henzler, RN
• Caroline Hill, CNM, WHNP-BC
• Michael Lashawn Hill, PARAMEDIC, ATP

• Clinical Social Worker in Jbphh, HI
• Providers in Jbphh, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.