Tiffany Lee Dickson, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

4880 North Hwy 19a Suite 200
Mount Dora, FL 32757-2018

Phone

(352) 589-8111

Fax

(352) 589-8495

NPI assigned

May 22, 2019

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 names 1

• Tiffany Lee Guido Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Lake Pediatrics P. a.

  • Rural Health Clinic/Center
  • Mount Dora, FL
  • NPI 1942367370
  NPD (past)

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1962069294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 NORTH HWY 19A SUITE 200",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572018",
            "telephone_number": "352-589-8111",
            "fax_number": "352-589-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 NORTH HWY 19A SUITE 200",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572018",
            "telephone_number": "352-589-8111",
            "fax_number": "352-589-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "TIFFANY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "GUIDO",
            "middle_name": "LEE",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Widdler Deshommes, MD
• Aliyyah Dewji
• Haleigh Dhaiti
• Samuel Mark Dickinson
• Sebastian Dickson
• Rebecca Diel
• Divaker Pediatrics LLC
• Rezia Catherine Shobhana Divaker, MD
• Samuel S Divaker, MD
• Kenya Dixon, PHARMD

• Social Worker in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.