Tiffanie Marie Desmangles, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34010111A Issued in IN

Practice address

25 Executive Dr Ste G
Lafayette, IN 47905-4880

Phone

(765) 237-2231

NPI assigned

Jan 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Innisfree Counseling LLC

  • Clinical Social Worker
  • Lafayette, IN
  • NPI 1164136719
  NPD Authorized official
• Valley Oaks Health Inc

  • Federally Qualified Health Center (FQHC)
  • Lafayette, IN
  • NPI 1134901135
  NPD
• Valley Oaks Health Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lafayette, IN
  • NPI 1689629990
  NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  NPD

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1881346310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 EXECUTIVE DR STE G",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054880",
            "telephone_number": "765-237-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 EXECUTIVE DR STE G",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054880",
            "telephone_number": "765-237-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMANGLES",
        "first_name": "TIFFANIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010111A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://sendsafe.to/tippy36@icloud.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Business",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3011 Carriage Rd",
            "city": "West Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479065269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia E Denton, RD, CD
• Erin Danielle Depew
• Mary Deraedt
• Shruthi Manya Dericks, DO
• Peter Richard Desmangles, MS, LMHC, LCAC
• Joseph Leonard Destefano, MD
• David Detterline, DDS
• Stephen Floyd Deutsch, M.D.
• Jason Devault
• Jordan Samantha Devenney, MS, LAT, ATC

• Clinical Social Worker in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.