Active NPI
Tiffany Anne Greer, LCSW
- Clinical Social Worker
- Vacaville, CA
National Provider Identifier
1710091897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 24827
- Practice address
- 555 Mason St
Suite 260
Vacaville, CA 95688-4612 - Phone
- (530) 402-3708
- NPI assigned
- Aug 18, 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 | LCS 24827 | CA | Primary |
Addresses
Primary practice location
555 Mason St
Suite 260
Vacaville, CA 95688-4612
Mailing address
2010 Harbison Dr Ste a
Suite 116
Vacaville, CA 95687-3925
Phone (530) 848-6484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000008462 | Other | CA | MEDI-CAL PROVIDER NUMBER |
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 |
|---|---|---|---|
| LCS 24827 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1710091897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 HARBISON DR STE A",
"address_2": "SUITE 116",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956873925",
"telephone_number": "530-848-6484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 MASON ST",
"address_2": "SUITE 260",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956884612",
"telephone_number": "530-402-3708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREER",
"first_name": "TIFFANY",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 24827",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PROVIDER NUMBER",
"identifier": "000008462",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.