Individual provider Active NPI

Tiffany Marie White, LICSW,AAP

  • Clinical Social Worker
  • Wells River, VT
National Provider Identifier
1992230098
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
65 Main St N
Wells River, VT 05081-9692
Phone
(802) 757-2325
NPI assigned
Apr 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X VT Primary

Addresses

Primary practice location

65 Main St N
Wells River, VT 05081-9692

Mailing address

65 Main St N
Wells River, VT 05081-9692
Phone (802) 757-2325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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

Enrollment IDStateProvider typePAC IDDetails
I20170711001149 VT Practitioner - Clinical Social Worker 4183993967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Rivers Health Care, Inc.Group PAC ID 8224031497, 30 clinicians

Practice addresses (Care Compare)

143 Fairground Rd
Bradford, VT 05033-9040
Phone (802) 757-2325

36 Oxbow Dr
Bradford, VT 05033-9037
Phone (802) 222-9317

437 S Main St
Little Rivers HC Inc
Bradford, VT 05033-0338
Phone (802) 222-9317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Little Rivers Health Care, Inc. CurrentSince May 13, 2017 Accepting new patients
Little Rivers Health Care, Inc. CurrentSince May 13, 2017 Accepting new patients
Little Rivers Health Care, Inc. Past Accepting new patients
Little Rivers Health Care, Inc. Past Accepting new patients
Little Rivers Health Care, Inc. Past Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

36 Oxbow Dr
Bradford, VT 05033
Phone 8024395321411

4628 Main St S
Newbury, VT 05051
Phone (802) 866-3000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1992230098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MAIN ST N",
            "city": "WELLS RIVER",
            "state": "VT",
            "postal_code": "050819692",
            "telephone_number": "802-757-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MAIN ST N",
            "city": "WELLS RIVER",
            "state": "VT",
            "postal_code": "050819692",
            "telephone_number": "802-757-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "credential": "LICSW,AAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wells River, VT

Sources for this page

Verify at the official NPI Registry.