Tiffany Leigh Wilkinson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

64179 Issued in TX

Practice address

10737 Gateway Blvd West Suite 204
El Paso, TX 79935

Phone

(252) 626-7424

NPI assigned

Jun 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mindful Living Center, LLC

  • Multi-Specialty Clinic/Center
  • El Paso, TX
  • NPI 1962028050
  NPD
• Rio Grande Psychiatric Associates PA

  • Psychiatry Physician
  • Houston, TX
  • NPI 1780929489
  NPD (past)

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1992434534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 GATEWAY BLVD N STE B5",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799241741",
            "telephone_number": "252-626-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10737 GATEWAY BLVD WEST SUITE 204",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79935",
            "telephone_number": "252-626-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "TIFFANY",
        "middle_name": "LEIGH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roman Edward Wilcox
• Sheryl Lynn Wilcox, M.S. CCC-SLP
• Jerold Horace Wiley
• Carrie Colleen Wilkie
• Zebulon Lee Wilkin, PA-C
• Gerald Lee Wilks, MD
• Erick Brian Willars
• William Beaumont Army Medcial Center
• William Beaumont Army Medical Center
• William Beaumont Army Medical Center

• All providers in El Paso, TX
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.