Tiffany Chen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14121 Issued in FL

Practice address

112 W Cervantes St
Pensacola, FL 32501-3128

Phone

(850) 466-3200

NPI assigned

Jun 8, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Tiffany Chen

  • Clinical Social Worker
  • Pensacola, FL
  • NPI 1396394540
  NPD Authorized official
• See the Wonder, LLC

  • Clinical Social Worker
  • Pensacola, FL
  • NPI 1275375529
  NPD

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1962851139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6681 BELLVIEW PINES RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325269093",
            "telephone_number": "850-466-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W CERVANTES ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013128",
            "telephone_number": "850-466-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6681 Bellview Pines Rd",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325269093",
            "country_code": "US",
            "telephone_number": "850-466-8273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "TIFFANY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "14121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20023600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latausha R Cheatham
• John D Cheatwood, CRNP, PMHNP-BC
• Manognya Chekragari, MD
• Chelsea Discount Apothecary Inc
• Alicia Chen, M.D.
• Jennifer Rebecca Chendea, IBCLC
• Annie Cherian, MD
• Gerald S Chernekoff, DC
• Hailey Cherry, BCABA
• Cheryl a Robatzen PSYD

• Clinical Social Worker in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.