Individual provider Active NPI

Tiffany Momoko Kindred

  • Clinical Social Worker
  • Palo Alto, CA
National Provider Identifier
1821666017
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
128929 Issued in CA
Practice address
667 Lytton Ave Ste 9
Palo Alto, CA 94301-1335
Phone
(415) 329-2882
NPI assigned
Jun 14, 2021
Last updated
May 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 098648 NY
Clinical Social Worker 1041C0700X LCSW-5315 HI
Clinical Social Worker 1041C0700X 128929 CA Primary

Addresses

Primary practice location

667 Lytton Ave Ste 9
Palo Alto, CA 94301-1335

Mailing address

225 Broadway Ste 2070
New York, NY 10007-3001

Other practice location 1

225 Broadway Ste 2070
New York, NY 10007-3001
Phone (212) 227-4343

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
128929CAMDClinical Social Worker
LCSW-5315HIMDClinical Social Worker
098648NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Good Place Therapy by Kerrie Mohr, LCSW, PC Clinical PastSince Nov 6, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1821666017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BROADWAY STE 2070",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 LYTTON AVE STE 9",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011335",
            "telephone_number": "415-329-2882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Broadway Ste 2070",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100073001",
            "country_code": "US",
            "telephone_number": "212-227-4343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINDRED",
        "first_name": "TIFFANY",
        "middle_name": "MOMOKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098648",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-5315",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "128929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.