Tiffany Susan Moore-Corteville, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

091298-01 Issued in NY

Practice address

18 Harvard St Ste 2
Rochester, NY 14607-2607

Phone

(734) 301-9346

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 3

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.

• Women'S Resource Center of Northern Michigan

  • Clinical Social Worker
  • Petoskey, MI
  • NPI 1548482029
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1932269099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 THOMAS GRV",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343066",
            "telephone_number": "734-301-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HARVARD ST STE 2",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072607",
            "telephone_number": "734-301-9346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3434 M 119 Ste A",
            "address_purpose": "LOCATION",
            "city": "Harbor Springs",
            "state": "MI",
            "postal_code": "497409373",
            "country_code": "US",
            "telephone_number": "734-301-9346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "423 Porter St",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497702844",
            "country_code": "US",
            "telephone_number": "231-347-0067",
            "fax_number": "231-347-5805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE-CORTEVILLE",
        "first_name": "TIFFANY",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "LMSW 6801090559",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801090559",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW 19984",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "LLMSW 6801090559",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091298-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN DEPT OF COMMUNITY HEALTH",
            "identifier": "6801090559",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASW REGISTRATION NUMBER",
            "identifier": "19984",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY OF THE STATE OF NEW YORK, EDUCATION DEPARTMENT, OFFICE OF PROFESSIONS",
            "identifier": "2781209",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer J Mooney, MHC
• Nicole Eleni Mooney, DDS
• Robert Arthur Mooney, PH.D.
• Sara Emilie Mooney
• Sheena Mooney
• Agnes M Moore, LCSW
• Alessandra Laura Moore, M.D.
• Alvin Moore
• Amanda C Moore
• Angela Moore, OTR/L

• Clinical Social Worker in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.