Laura Michelle Tiffany-Draeger, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10364-120 Issued in WI

Practice address

808 Main St E
Menomonie, WI 54751-2735

Phone

(715) 231-2771

NPI assigned

Aug 26, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• County of Dunn

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Menomonie, WI
  • NPI 1588667406

  Clinical

  NPD (past)

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1922432004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 MAIN ST E",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512735",
            "telephone_number": "715-231-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 MAIN ST E",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512735",
            "telephone_number": "715-231-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIFFANY-DRAEGER",
        "first_name": "LAURA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "10364-120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Renae Taylor
• Tara L Thiele
• Amanda Marie Thomas Evans, PHD LPC NCC
• Darlene Kay Thornton, P.T.
• Thrive Psychological and Consulting Services LLC
• Jenny Johanna Timm, MSE
• TLC Laser Eye Centers (Refractive I) Inc
• Kalie R Townsend, NP
• Bruce Martin Trimble, DDS
• Katherine Josephine Trimble

• Clinical Social Worker in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.