Individual provider Active NPI

Tiffany Weaver, LCSW

  • Clinical Social Worker
  • Homestead, FL
National Provider Identifier
1811676802
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12514-123 Issued in WI
Practice address
677 NE 35TH Ave
Homestead, FL 33033-7626
Phone
(786) 265-8519
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12514-123 WI Primary
Clinical Social Worker 1041C0700X SW20831 FL
Clinical Social Worker 1041C0700X 6801116901 MI
Clinical Social Worker 1041C0700X 0904015613 VA
Clinical Social Worker 1041C0700X CSW.09929423 CO

Addresses

Primary practice location

677 NE 35TH Ave
Homestead, FL 33033-7626

Mailing address

3355 NE 5TH St Apt 208
Homestead, FL 33033-7647
Phone (786) 804-7839

Other practice location 1

2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225

Other practice location 2

12420 Warwick Blvd Bldg 44A
Newport News, VA 23606-3001
Phone (757) 594-4431

Other names 1

  • Tiffany Linder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, 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

Enrollment IDStateProvider typePAC IDDetails
I20240316000216 MI Practitioner - Clinical Social Worker 6305282088 Reassigns benefits to 2 organizations
I20260623000199 VA Practitioner - Clinical Social Worker 6305282088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Easterseals Morc Health Care, IncGroup PAC ID 9830141670, 129 clinicians

Practice addresses (Care Compare)

2399 E Walton Blvd
Auburn Hills, MI 48326-1955
Phone (248) 475-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09929423COMDClinical Social Worker
SW20831FLMDClinical Social Worker
12514-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc CurrentSince Sep 19, 2025 Accepting new patients
Easterseals Morc Health Care, Inc. CurrentSince Feb 6, 2024 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients

Locations

2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400

610 S Lincoln Rd
Escanaba, MI 49829
Phone (906) 786-6488

1711 S Stephenson Ave
Ste 215
Iron Mountain, MI 49801
Phone (906) 776-5955

440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040

22170 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 357-8197

2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1811676802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 NE 5TH ST APT 208",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337647",
            "telephone_number": "786-804-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 NE 35TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337626",
            "telephone_number": "786-265-8519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2820 Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Marinette",
            "state": "WI",
            "postal_code": "541433834",
            "country_code": "US",
            "telephone_number": "715-735-5225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12420 Warwick Blvd Bldg 44A",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236063001",
            "country_code": "US",
            "telephone_number": "757-594-4431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "TIFFANY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12514-123",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20831",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801116901",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015613",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929423",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "LINDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.