Mary Tiffin, MSW, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW024341 Issued in PA

Practice address

298 E 5TH St
Bloomsburg, PA 17815-2353

Phone

(570) 317-2999

NPI assigned

Oct 27, 2023

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 PA, VA2 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

Pennsylvania State University College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychogeriatric Services LLCGroup PAC ID 6002719226, 122 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 and National Provider Directory roles.

• Psychogeriatric Services LLC

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1588689483

  Clinical, PA, VA

  Medicare reassignment Care Compare group NPD
• Willow Tree Wellness & Counseling, LLC

  • Clinical Social Worker
  • Bloomsburg, PA
  • NPI 1649521584
  Medicare reassignment NPD

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1790557205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 EVERGREEN DR",
            "city": "WINFIELD",
            "state": "PA",
            "postal_code": "178899169",
            "telephone_number": "570-716-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 E 5TH ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178152353",
            "telephone_number": "570-317-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIFFIN",
        "first_name": "MARY",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-27",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW129995",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Henry Tevis, M. ED. LPC
• The Giant Company, LLC
• Jean R Thomas, CRNA
• Leah C Thomas, SLP
• Daniel Tiene
• Virginia Tillery, NCC
• Erica Clare Tobias, LCSW
• Ashlee Tomassacci
• Aparna Tompe, MD
• James M Toon, DC

• Clinical Social Worker in Bloomsburg, PA
• Providers in Bloomsburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.