Active NPI
Tiffani Smithson, LCSW-C
- Clinical Social Worker
- Gaithersburg, MD
National Provider Identifier
1891337549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17808
- Practice address
- 267 Kentlands Blvd # 5206
Gaithersburg, MD 20878-5446 - Phone
- (240) 855-5428
- NPI assigned
- Oct 15, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LC50081082 | DC | |
| Clinical Social Worker | 1041C0700X | 14063 | SC | |
| Clinical Social Worker | 1041C0700X | LC50081082 | DC | |
| Clinical Social Worker | 1041C0700X | 17808 | MD | Primary |
Addresses
Primary practice location
267 Kentlands Blvd # 5206
Gaithersburg, MD 20878-5446
Mailing address
267 Kentlands Blvd Ste 5206
Gaithersburg, MD 20878-5446
Phone (240) 855-5428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0522 | Other | MD | COMMERCIAL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | tiffani.smithson@yahoo.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| LC50081082 | DC | MD | Clinical Social Worker |
| 17808 | MD | MD | Pharmacist |
| 14063 | SC | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DMV Wellness Center, LLC | Clinical | Current | Accepting new patients |
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.
-
- Clinical Social Worker
- Germantown, MD
- NPI 1831809003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1891337549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 KENTLANDS BLVD STE 5206",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208785446",
"telephone_number": "240-855-5428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 KENTLANDS BLVD # 5206",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208785446",
"telephone_number": "240-855-5428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITHSON",
"first_name": "TIFFANI",
"name_prefix": "Mrs.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-15",
"last_updated": "2021-06-16",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LC50081082",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "14063",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50081082",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "17808",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "0522",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "tiffani.smithson@yahoo.com",
"affiliation": "N",
"endpointDescription": "tiffani.smithson@yahoo.com",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "18564 Eagles Roost Dr",
"city": "Germantown",
"state": "MD",
"country_code": "US",
"postal_code": "208742102",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.