Tiffany Rosalind Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

95218 Issued in CA

Practice address

670 Placerville Dr # 2
Placerville, CA 95667-4200

Phone

(530) 644-2412

NPI assigned

Sep 21, 2012

Last updated

Sep 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest Post Acute Care PLLC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1083012074

  Clinical

  Medicare reassignment Care Compare group NPD
• Midwest Post-Acute Care of California PC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1326490871

  CA, Clinical

  Medicare reassignment NPD
• Mpac SMH of California PC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1821660960

  CA, Clinical

  Medicare reassignment NPD
• Pacific Coast Psychiatric Associates Inc

  dba Lifestance Health

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1023125465
  NPD (past)

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1750632451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 GRAND AVE STE D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958383466",
            "telephone_number": "916-922-9868",
            "fax_number": "916-922-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PLACERVILLE DR # 2",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674200",
            "telephone_number": "530-644-2412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 Grand Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958383466",
            "country_code": "US",
            "telephone_number": "916-922-9868",
            "fax_number": "916-922-7342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIFFANY",
        "middle_name": "ROSALIND",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "95218",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "167G00000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolee J Smith, RN
• Cheryl Guinn Smith, PHARMACIST
• Heather Smith
• Lydia Rachel Smith, OT
• Sophie Smith
• Paul Bernard Sobelman, M.D.
• Brian Jordan Sobocinski, RADT-1
• Sohi Dentistry Professional Corporation
• Donna Soldano, MFT, ATR-BC
• Jessica Solomon, M.A.

• Clinical Social Worker in Placerville, CA
• Providers in Placerville, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.