Active NPI
Tiffany Dawn Beck, LCSW
- Clinical Social Worker
- Newburgh, IN
National Provider Identifier
1982107017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34007914A
- Practice address
- 333 State St Ste B
Newburgh, IN 47630-1270 - Phone
- (270) 724-2828
- NPI assigned
- Mar 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34007914A | IN | Primary |
Addresses
Primary practice location
333 State St Ste B
Newburgh, IN 47630-1270
Mailing address
2455 Jamestown Dr
Henderson, KY 42420-2325
Phone (270) 724-2828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1982107017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2455 JAMESTOWN DR",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424202325",
"telephone_number": "270-724-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 STATE ST STE B",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476301270",
"telephone_number": "270-724-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "TIFFANY",
"middle_name": "DAWN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-15",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34007914A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.