Individual provider Active NPI

Michelle M Tiger, LCSW

  • Clinical Social Worker
  • Glenside, PA
National Provider Identifier
1801442710
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017899 Issued in PA
Practice address
107 E Glenside Ave Ste B
Glenside, PA 19038-4629
Phone
(610) 308-4179
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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 CW017899 PA Primary

Addresses

Primary practice location

107 E Glenside Ave Ste B
Glenside, PA 19038-4629

Mailing address

305 Brookdale Ave FL 1
Glenside, PA 19038-4506
Phone (610) 308-4179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191015001101 PA Practitioner - Clinical Social Worker 8921339417 Practice locations: Glenside, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Glenside, PA 19038
Phone (610) 308-4179

107 E Glenside Ave
Suite B
Glenside, PA 19038-4629
Phone (610) 308-4179

305 Brookdale Ave FL
Suite 1
Glenside, PA 19038-4506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW017899PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1801442710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BROOKDALE AVE FL 1",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190384506",
            "telephone_number": "610-308-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E GLENSIDE AVE STE B",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190384629",
            "telephone_number": "610-308-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGER",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenside, PA

Sources for this page

Verify at the official NPI Registry.