Individual provider Active NPI

Tiffany Trump, LCSW

  • Clinical Social Worker
  • Clearfield, UT
National Provider Identifier
1740731223
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
342514-3501 Issued in UT
Practice address
189 S State St
Clearfield, UT 84015-1061
Phone
(801) 644-6312
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 342514-3501 UT Primary

Addresses

Primary practice location

189 S State St
Clearfield, UT 84015-1061

Mailing address

189 S State St
Clearfield, UT 84015-1061
Phone (801) 644-6312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2026 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
342514-3501UTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1740731223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 S STATE ST",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151061",
            "telephone_number": "801-644-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 S STATE ST",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151061",
            "telephone_number": "801-644-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUMP",
        "first_name": "TIFFANY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "342514-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, UT

Sources for this page

Verify at the official NPI Registry.