Tiffany Dawn Holthus, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

5288 Issued in OK

Practice address

5404 SW Lee Blvd
Lawton, OK 73505-9695

Phone

(580) 355-5242

Fax

(580) 355-5245

NPI assigned

Jun 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tiffany Dawn Zerger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1912103185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2309",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735022309",
            "telephone_number": "580-357-9984",
            "fax_number": "580-357-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059695",
            "telephone_number": "580-355-5242",
            "fax_number": "580-355-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTHUS",
        "first_name": "TIFFANY",
        "middle_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "6345",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": "5288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "ZERGER",
            "middle_name": "DAWN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jo Ann Holland, R.D., L.D.,C.D.E.
• Rebecca Sue Hollander, RD
• Kyle Hollingsworth, RBT
• Amanda Holsted, COTA/L
• Vicki Lynn Holt, PTA
• Cassandra Lynn Holtke
• Jerard Holton
• Jennifer Baker Honeyager, MS, CCC-SLP
• Randy Steven Honeycutt
• Kevin Andrew Hooks

• Social Worker in Lawton, OK
• Providers in Lawton, OK by specialty
• Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.