TIFFANY WYNN (NPI# 1396357638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396357638 |
| Entity Type | Individual |
| Full Name | TIFFANY WYNN |
| Practice Address |
1805 Roswell Rd Apt 23d Marietta GA 30062-8951 |
| Practice Telephone | 6192469363 |
| Mailing Telephone | 6192469363 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225404437 | Tiffany Wynn | Counselor | 1524 Bishops Lodge Rd, #b, Tesuque, NM 87506 | 2015-08-12 |
| 1104321173 | Tiffany Wynn | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-03-29 |
| Street Address |
1805 ROSWELL RD APT 23D |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-8951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558913426 | Michael Boyd | Social Worker | 828 Verdun Way Sw, Marietta, GA 30064-1591 | 2019-07-11 |
| 1467010223 | Michelle Sobel | Social Worker | 4343 Shallowford Rd Bldg H, Marietta, GA 30062-5023 | 2019-06-05 |
| 1568938553 | Tosha Johnson | Social Worker | 2236 Hidden Glen Dr Se, Marietta, GA 30067-8743 | 2018-10-17 |
| 1407336050 | Jennifer A Jones | Social Worker | 1635 Bridge Mill Dr Se Apt Q, Marietta, GA 30067-3841 | 2018-08-14 |
| 1720504673 | Coda Lee Click | Social Worker | 27750 State Route 7, Marietta, OH 45750-5147 | 2017-08-22 |
| 1588189385 | Davis Crosland Vaughn | Social Worker | 4939 Lower Roswell Rd Ste 201c, Marietta, GA 30068-4384 | 2017-08-14 |
| 1942691357 | Elisa Morris | Social Worker | 3550 Jefferson Township Pkwy, Marietta, GA 30066-1782 | 2015-02-08 |
| 1851558795 | Aliexo Christie | Social Worker | 4343 Shallowford Rd Lowr Level, Marietta, GA 30062-5023 | 2008-05-19 |
| 1740455872 | Kimberly Michelle Bennett | Social Worker | 2294 Smith Ave Sw, Marietta, GA 30064-4238 | 2008-04-29 |
| 1922134857 | Linda D Briks | Social Worker | 1501 Johnson Ferry Rd Ste 100, Jf&cs, Marietta, GA 30062-6485 | 2007-02-26 |
| Find all providers in MARIETTA | ||||
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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.