Individual provider Active NPI

Tiffany A Lemon, MSW,LISW

  • Clinical Social Worker
  • Zanesville, OH
National Provider Identifier
1902323728
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2203803 Issued in OH
Practice address
1127 W Main St
Zanesville, OH 43701-3147
Phone
(740) 454-1266
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2203803 OH Primary
Social Worker 104100000X S.1701169 OH

Addresses

Primary practice location

1127 W Main St
Zanesville, OH 43701-3147

Mailing address

1127 W Main St
Zanesville, OH 43701-3147
Phone (740) 454-1266

Other practice location 1

3405 Dillon Acres Dr
Zanesville, OH 43701-9658
Phone (740) 455-4132

Other identifiers 1

IdentifierTypeStateIssuer
0268289MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230307000432 OH Practitioner - Clinical Social Worker 7416320734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allwell Behavioral Health ServicesGroup PAC ID 0547165615, 26 clinicians

Practice addresses (Care Compare)

1127 W Main St
Zanesville, OH 43701-3147
Phone (740) 454-1266

2845 Bell St
Zanesville, OH 43701-1720
Phone (740) 454-9766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1701169OHMDSocial Worker
I.2203803OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Allwell Behavioral Health Services Current Accepting new patients
Muskingum County Drug Alcohol & Substance Abuse Council Inc Social Worker CurrentSince Jan 16, 2023 Accepting new patients
Allwell Behavioral Health Services CurrentSince Nov 15, 2023 Accepting new patients
Allwell Behavioral Health Services CurrentSince Nov 15, 2023 Accepting new patients
Southeastern Ohio Counseling Center, LLC. PastSince Dec 1, 2015 Accepting new patients
Southeastern Ohio Counseling Center, LLC. PastSince Aug 30, 2020 Accepting new patients

Locations

2845 Bell St
Zanesville, OH 43701
Phone (614) 455-4147

1127 W Main St
Zanesville, OH 43701
Phone (740) 454-1266

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/allwell/r4/
  • FHIR API: https://api.qualifacts.org/api/fhir/southeasternohiocounseling/r4/

Organizations & group practices 6

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1902323728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 W MAIN ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013147",
            "telephone_number": "740-454-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 W MAIN ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013147",
            "telephone_number": "740-454-1266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3405 Dillon Acres Dr",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437019658",
            "country_code": "US",
            "telephone_number": "740-455-4132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMON",
        "first_name": "TIFFANY",
        "middle_name": "A",
        "credential": "MSW,LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203803",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1701169",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0268289",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.