Active NPI
Tiffany Anton, LMSW
- Clinical Social Worker
- Northville, MI
National Provider Identifier
1700949633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801092555
- Practice address
- 120 W Main St
Suite 202
Northville, MI 48167-1586 - Phone
- (734) 788-8307
- NPI assigned
- Dec 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801092555 | MI | Primary |
Addresses
Primary practice location
120 W Main St
Suite 202
Northville, MI 48167-1586
Mailing address
120 W Main St
Suite 202
Northville, MI 48167-1586
Phone (734) 788-8307
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10024 | Medicaid | OH | |
| 10034 | 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801092555 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John T Bopp PC | Clinical | Past | Accepting new patients |
| BPH LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1770989303
-
- Clinical Psychologist
- Kansas City, MO
- NPI 1447292180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1700949633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W MAIN ST",
"address_2": "SUITE 202",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481671586",
"telephone_number": "734-788-8307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W MAIN ST",
"address_2": "SUITE 202",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481671586",
"telephone_number": "734-788-8307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTON",
"first_name": "TIFFANY",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801092555",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10024",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10034",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.