Tiffany Merrill, MSW, PPS, ASW

Individual provider Active NPI Clinical Social Worker · Cudahy, CA

NPI 1942590260 · NPPES record last updated Jan 26, 2012

Key facts

NPI
1942590260
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
29980 (CA)
Practice address
7326 Wilcox Ave
Cudahy, CA 90201-4309
Phone
(323) 869-1352
NPI assigned
Apr 8, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 29980 CA Yes

Addresses

Primary practice location

7326 Wilcox Ave
Cudahy, CA 90201-4309

Mailing address

7326 Wilcox Ave
Cudahy, CA 90201-4309
Phone (323) 869-1352

Other providers in Cudahy, CA

All providers in Cudahy, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.