TIFFANY BLACK (NPI# 1316338841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316338841 |
| Entity Type | Individual |
| Full Name | TIFFANY BLACK |
| Practice Address |
2939 Russell St Detroit MI 48207-4825 |
| Practice Telephone | 3133965300 |
| Mailing Telephone | 3133965300 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396247391 | Tiffany Alex Black | Clinic/Center | 5310 Coral Ribbon Ave, Las Vegas, NV 89139-5832 | 2018-03-06 |
| 1750673216 | Tiffany Clevette Black | Psychologist | 3447 Cobblestone Ct, Spencer, OK 73084-3258 | 2011-05-03 |
| 1306487400 | Tiffany Marie Black | Physician Assistant | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2019-10-01 |
| 1114212511 | Tiffany B Black | Counselor | 1856 Cedar Hill Road, Lancaster, OH 43130-4178 | 2011-06-14 |
| 1548419377 | Tiffany E Black | Counselor | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2008-09-17 |
| Street Address |
2939 RUSSELL ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881679355 | Margo Kimberlee Ferguson | Family Medicine | 2939 Russell St, Detroit, MI 48207-4825 | 2005-12-07 |
| 1962869081 | Venecya Latonya Gavin | Social Worker | 2939 Russell St, Detroit, MI 48207-4825 | 2016-01-20 |
| 1043686215 | Samah Abdul Altairi | Social Worker | 2939 Russell St, Detroit, MI 48207-4825 | 2015-08-11 |
| 1114303740 | Ngozi Eke | Social Worker | 2939 Russell St, Detroit, MI 48207-4825 | 2015-08-05 |
| 1457735524 | Krystle Nicole Carter | Case Manager/Care Coordinator | 2939 Russell St, Detroit, MI 48207-4825 | 2015-07-17 |
| 1770966368 | Team Wellness Center | Case Management | 2939 Russell St, Detroit, MI 48207-4825 | 2015-07-01 |
| 1255727921 | Michael John Allen | Registered Nurse | 2939 Russell St, Detroit, MI 48207-4825 | 2015-04-09 |
| 1518350404 | Laporsche Smith | Case Manager/Care Coordinator | 2939 Russell St, Detroit, MI 48207-4825 | 2015-03-16 |
| 1780075705 | Patricia Mckinnin/sandridge | Registered Nurse | 2939 Russell St, Detroit, MI 48207-4825 | 2015-02-12 |
| 1225429756 | Karianta Hobbs | Social Worker | 2939 Russell St, Detroit, MI 48207-4825 | 2015-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457958811 | Jeana L Rooks | Social Worker | 19340 Riverview St, Detroit, MI 48219-4684 | 2020-10-07 |
| 1457966749 | Crystal Radford | Social Worker | 229 Riverside Dr, Detroit, MI 48215-3010 | 2020-09-13 |
| 1285248799 | Lachonta Alise Conley | Social Worker | 12594 Promenade St, Detroit, MI 48213-1416 | 2020-09-02 |
| 1780297754 | Simone D Yancy | Social Worker | 14247 Riverview St, Detroit, MI 48223-2414 | 2020-08-28 |
| 1104435460 | Goddess Great | Social Worker | 17163 E Warren Ave, Detroit, MI 48224-2279 | 2020-07-23 |
| 1710501689 | Matthew Vanderwindt | Social Worker | 3554 Yorkshire Rd, Detroit, MI 48224-2324 | 2020-06-05 |
| 1669091286 | Evan Theodore Fulford | Social Worker | 19928 Lichfield Rd, Detroit, MI 48221-1363 | 2020-04-14 |
| 1669001335 | Eric Allan Haynes | Social Worker | 1454 Strathcona Dr, Detroit, MI 48203-1464 | 2020-04-05 |
| 1629601729 | Stephanie Beaton | Social Worker | 3011 W Grand Blvd Ste 406, Detroit, MI 48202-3011 | 2020-02-17 |
| 1871125781 | Amalia S Miralrio | Social Worker | 1214 Griswold St Apt 805, Detroit, MI 48226-1816 | 2020-02-08 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.