Tiffany Lynn Goles, MSW, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801095172 Issued in MI

Practice address

16133 Enchanted Peak Way
Monument, CO 80132

Phone

(734) 353-0842

NPI assigned

Apr 22, 2014

Last updated

Jun 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Tiffany Lynn Fouch Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joseph Bavonese PHD PC

  • Mental Health Counselor
  • Royal Oak, MI
  • NPI 1174778682
  NPD (past)

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1942620612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16133 ENCHANTED PEAK WAY",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "80132",
            "telephone_number": "734-353-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16133 ENCHANTED PEAK WAY",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "80132",
            "telephone_number": "734-353-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLES",
        "first_name": "TIFFANY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LARA",
            "identifier": "6801095172",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "FOUCH",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tammy L Gill, LMT
• Stacie Gilmore
• Theresa M Gisi,, PH. D.
• Jamie Dahlgren Glover, M.D.
• Stephanie M Goddard
• Samantha U Gonzales, DPT
• Lia Angelica Grandinetti, DDS
• Christine Gray
• Dana L. Gregory, D.P.T.
• Victoria Gross

• Clinical Social Worker in Monument, CO
• Providers in Monument, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.