Active NPI
Tiffany Oliver
- Clinical Social Worker
- Lithonia, GA
National Provider Identifier
1710316054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW005073
- Practice address
- 1674 Laurel Creek Cir
Lithonia, GA 30058-7822 - Phone
- (404) 316-4042
- NPI assigned
- Nov 7, 2013
- Last updated
- Jan 30, 2017
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MSW005467 | GA | |
| Clinical Social Worker | 1041C0700X | CSW005073 | GA | Primary |
Addresses
Primary practice location
1674 Laurel Creek Cir
Lithonia, GA 30058-7822
Mailing address
1674 Laurel Creek Cir
Lithonia, GA 30058-7822
Phone (404) 316-4042
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 |
|---|---|---|---|
| MSW005467 | GA | MD | Mental Health Counselor |
| CSW005073 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1710316054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1674 LAUREL CREEK CIR",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300587822",
"telephone_number": "404-316-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1674 LAUREL CREEK CIR",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300587822",
"telephone_number": "404-316-4042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-07",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "MSW005467",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.