Active NPI
Tiffiny Marie Herrick, LCSW
- Clinical Social Worker
- Reno, NV
National Provider Identifier
1831383363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4042-C
- Practice address
- 1325 Airmotive Way Ste 250
Reno, NV 89502-3265 - Phone
- (775) 338-6626
- NPI assigned
- Aug 28, 2007
- 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 | 4042-C | NV | Primary |
Addresses
Primary practice location
1325 Airmotive Way Ste 250
Reno, NV 89502-3265
Mailing address
1325 Airmotive Way Ste 250
Reno, NV 89502-3265
Phone (775) 338-6626
Other practice location 1
575 E Plumb Ln
Reno, NV 89502-3540
Phone (775) 329-0623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100509380 | Medicaid | NV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tmherrick@sbcglobal.net |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4042-C | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Counseling Service of Northern Nevada | Past | Accepting new patients | |
| Family Counseling Service of Northern Nevada | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Reno, NV
- NPI 1770988495
-
- Community/Behavioral Health Agency
- Reno, NV
- NPI 1922486141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1831383363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 AIRMOTIVE WAY STE 250",
"city": "RENO",
"state": "NV",
"postal_code": "895023265",
"telephone_number": "775-338-6626",
"fax_number": "775-337-2771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 AIRMOTIVE WAY STE 250",
"city": "RENO",
"state": "NV",
"postal_code": "895023265",
"telephone_number": "775-338-6626"
}
],
"practiceLocations": [
{
"address_1": "575 E Plumb Ln",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895023540",
"country_code": "US",
"telephone_number": "775-329-0623",
"fax_number": "775-337-2771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRICK",
"first_name": "TIFFINY",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-28",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "4042-C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100509380",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tmherrick@sbcglobal.net",
"affiliation": "N",
"address_1": "1325 Airmotive Way Ste 250",
"city": "Reno",
"state": "NV",
"country_code": "US",
"postal_code": "895023265",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.