Active NPIIndividual provider

Tiffany Clark

Social Worker, Clinical in Waltham, Massachusetts

NPI Number1467934240
Practice location
1430 Main St, Waltham, MA 02451-1623
Fax
—
Last updated
August 29, 2018

Tiffany Clark is a Social Worker, Clinical based in Waltham, MA. Tiffany Clark practices in Waltham, MA. The NPI Number for Tiffany Clark is 1467934240 and holds a License No. 120811 (MA). The current practice location address for Tiffany Clark is 1430 Main St, Waltham, MA 02451-1623 and can be reached out via phone at 781-647-5327.

Provider Profile Details

NPI Number
1467934240
Provider Name
Tiffany Clark
Provider Entity Type
Individual
Gender
Female
Address
1430 Main St, Waltham, MA 02451-1623
Phone Number
781-647-5327
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 29, 2018
Last Update Date
August 29, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1430 Main St
Waltham, MA 02451-1623
Zip
02451-1623
Phone Number
781-647-5327
Waltham, MA 02451Get directions →

Provider Business Mailing Address Details

Address
23 Village Rock Ln Apt 21
Natick, MA 01760-5715
City
Natick
State
MA
Zip
01760-5715
Phone Number
617-935-5156

License Information

License Number
120811
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tiffany Clark?

The NPI number of Tiffany Clark is 1467934240. It was assigned on August 29, 2018 and is currently active in the NPPES registry.

What is the specialty of Tiffany Clark?

Tiffany Clark is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 120811.

Where does Tiffany Clark practice?

The practice location is 1430 Main St, Waltham, MA 02451-1623. The office can be reached at 781-647-5327 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467934240 directly on the NPPES registry website.

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