Active NPI
Tift & Tift LLC
- Clinical Social Worker
- Hinesville, GA
National Provider Identifier
1871808550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MSW002656
- Legal business name
- TIFT & TIFT LLC
- Practice address
- 36 Coates Rd
Hinesville, GA 31313 - Phone
- (912) 977-4663
- Fax
- (912) 369-6530
- NPI assigned
- Aug 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Charles E. Tift, LMSW
- Title
- Member Manager
- Phone
- (912) 977-4663
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 012789 | MI | |
| Clinical Social Worker | 1041C0700X | MSW002656 | GA | Primary |
Addresses
Primary practice location
36 Coates Rd
Hinesville, GA 31313
Mailing address
36 Coates Rd
Hinesville, GA 31313-1013
Phone (912) 977-4663
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282089600000",
"number": "1871808550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 COATES RD",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313131013",
"telephone_number": "912-977-4663",
"fax_number": "912-369-6530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 COATES RD",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "31313",
"telephone_number": "912-977-4663",
"fax_number": "912-369-6530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIFT & TIFT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-18",
"last_updated": "2010-08-18",
"status": "A",
"authorized_official_last_name": "TIFT",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "MEMBER MANAGER",
"authorized_official_telephone_number": "912-977-4663",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "012789",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "MSW002656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.