Active NPI
Susan Marie Tiffany, LICSW, LCSW
- Clinical Social Worker
- San Marcos, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 115511
- Practice address
- 151 Stagecoach TRL Ste 220
San Marcos, TX 78666-3863 - Phone
- (737) 277-4221
- NPI assigned
- Aug 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 115511 | TX | Primary |
| Clinical Social Worker | 1041C0700X | LW60869700 | WA |
Addresses
Primary practice location
151 Stagecoach TRL Ste 220
San Marcos, TX 78666-3863
Mailing address
2627 Martin Way E Ste 5
Olympia, WA 98506-4926
Phone (360) 830-6679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250506000261 | TX | Practitioner - Clinical Social Worker | 4486171253 |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
308 S Friendswood Dr
Suite 200
Friendswood, TX 77546-3989
4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW60869700 | WA | MD | Clinical Social Worker |
| 115511 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Behavioral Health, PLLC | Clinical | Current | Accepting new patients |
Locations
308 S Friendswood Dr
Ste 200
Friendswood, TX 77546
Phone (253) 346-0386
12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078
23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500
151 Stagecoach Trl
Ste 220
San Marcos, TX 78666
Phone (210) 858-9772
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1861708786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2627 MARTIN WAY E STE 5",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985064926",
"telephone_number": "360-830-6679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 STAGECOACH TRL STE 220",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786663863",
"telephone_number": "737-277-4221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIFFANY",
"first_name": "SUSAN",
"middle_name": "MARIE",
"credential": "LICSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-30",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "115511",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60869700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.