Active NPI
Tiphani Fillingim
- Clinical Social Worker
- Evansville, IN
National Provider Identifier
1770096190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34008373A
- Practice address
- 1010 S Weinbach Ave
Evansville, IN 47714-2934 - Phone
- (812) 602-4022
- NPI assigned
- Nov 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34008373A | IN | Primary |
Addresses
Primary practice location
1010 S Weinbach Ave
Evansville, IN 47714-2934
Mailing address
1010 S Weinbach Ave
Evansville, IN 47714-2934
Phone (812) 602-4022
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34008373A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illuminating Hope Counseling, LLC | Clinical | Current | Accepting new patients |
| Safe Haven LLC | Clinical | Past | Accepting new patients |
Locations
4088 State Route 261
Newburgh, IN 47630
Phone (812) 221-3881
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Newburgh, IN
- NPI 1497621684
-
dba Genesis Health & Wellness Center
- Community/Behavioral Health Agency
- Evansville, IN
- NPI 1164925772
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545350400000",
"number": "1770096190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 S WEINBACH AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477142934",
"telephone_number": "812-602-4022",
"fax_number": "912-602-4023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S WEINBACH AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477142934",
"telephone_number": "812-602-4022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILLINGIM",
"first_name": "TIPHANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-07",
"last_updated": "2018-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34008373A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.