Active NPI
Tiffany M. Liddell
- Social Worker
- Springfield, MA
National Provider Identifier
1710236369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 001320
- Practice address
- 140 High St
Springfield, MA 01105-1442 - Phone
- (413) 495-1500
- NPI assigned
- Aug 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | 001320 | CT | Primary |
Addresses
Primary practice location
140 High St
Springfield, MA 01105-1442
Mailing address
1680 Albany Ave
Hartford, CT 06105-1001
Phone (860) 236-4511
Other practice location 1
1680 Albany Avenue
Hartford, CT 06105
Phone (860) 236-4511
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 |
|---|---|---|---|
| 001320 | CT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1710236369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 ALBANY AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051001",
"telephone_number": "860-236-4511",
"fax_number": "860-296-1071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 HIGH ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011051442",
"telephone_number": "413-495-1500"
}
],
"practiceLocations": [
{
"address_1": "1680 Albany Avenue",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "06105",
"country_code": "US",
"telephone_number": "860-236-4511",
"fax_number": "860-296-1071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIDDELL",
"first_name": "TIFFANY",
"middle_name": "M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "001320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.