Active NPI
Tiffany Elswick Haney, LCSW
- Clinical Social Worker
- Ashland, KY
National Provider Identifier
1851313605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1377
- Practice address
- 3701 Lansdowne Dr
Ashland, KY 41102 - Phone
- (606) 324-3005
- Fax
- (606) 329-1530
- NPI assigned
- Jul 24, 2006
- Last updated
- Aug 1, 2024
- 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 | 1377 | KY | Primary |
Addresses
Primary practice location
3701 Lansdowne Dr
Ashland, KY 41102
Mailing address
PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610661987 | Other | LIFESYNCH | |
| 4002344681-00 | Other | OH | BWC - OHIO WORKERS' COMP |
| 7240256 | Other | AETNA | |
| 1213545 | Other | CHA | |
| 000000352332 | Other | ANTHEM BCBS | |
| 11715426 | Other | CAQH | |
| 308500810 | Other | CHAMPUS-TRICARE | |
| 7100281150 | Medicaid | KY | |
| 001723365 | Other | MSBCBS | |
| 610661987 | Other | CORPHEALTH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1377 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Psychiatry Services | Current | Accepting new patients |
Locations
121 16th St
Ste 1
Ashland, KY 41101
Phone (502) 488-2250
1544 Winchester Ave
Ste 701
Ashland, KY 41101
Phone (606) 329-1016
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.
-
- Psychiatry Physician
- Ashland, KY
- NPI 1649375841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1851313605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 790",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411050790",
"telephone_number": "606-329-8588",
"fax_number": "606-329-8195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 LANSDOWNE DR",
"city": "ASHLAND",
"state": "KY",
"postal_code": "41102",
"telephone_number": "606-324-3005",
"fax_number": "606-329-1530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSWICK HANEY",
"first_name": "TIFFANY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "1377",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIFESYNCH",
"identifier": "610661987",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC - OHIO WORKERS' COMP",
"identifier": "4002344681-00",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7240256",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA",
"identifier": "1213545",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000352332",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11715426",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-TRICARE",
"identifier": "308500810",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100281150",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MSBCBS",
"identifier": "001723365",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPHEALTH",
"identifier": "610661987",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.