Active NPI
Tiffany Marie White, LICSW,AAP
- Clinical Social Worker
- Wells River, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Rivers Health Care, Inc. | Current | Accepting new patients | |
| Little Rivers Health Care, Inc. | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- East Corinth, VT
- NPI 1962161745
-
- Federally Qualified Health Center (FQHC)
- Newbury, VT
- NPI 1376119966
-
- Federally Qualified Health Center (FQHC)
- Wells River, VT
- NPI 1861640161
-
- Federally Qualified Health Center (FQHC)
- East Corinth, VT
- NPI 1972751279
-
- Family Medicine Physician
- Traverse City, MI
- NPI 1881623031
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.