Shira Yudkin Tiffany, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000226358 Issued in MA

Practice address

228 South St Apt 6
Boston, MA 02130-3945

Phone

(302) 388-8986

NPI assigned

Sep 14, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Pratt Pediatric Associates Inc

  • Pediatrics Physician
  • Boston, MA
  • NPI 1477590511
  Medicare reassignment

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1952023137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 SOUTH ST APT 6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021303945",
            "telephone_number": "302-388-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 SOUTH ST APT 6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021303945",
            "telephone_number": "302-388-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIFFANY",
        "first_name": "SHIRA",
        "middle_name": "YUDKIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000226358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CERTIFIED SOCIAL WORKER",
            "identifier": "000226358",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Tierney, BCBA, LABA
• Mara Ainsley Tietzen, MD
• Emily Tieu
• Hieu Thi Tieu, MBA, MSN, FNP-BC
• Tiffany Douglas
• Charles P. Tifft, M.D.
• Colleen Ann Tighe, NP
• Laura K Tikonoff, PT, DPT
• Marion Tilearcio, PA-C
• Alyssa M.S. Tilhou, MD

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.