TIFFANY BLAIR (NPI# 1932689171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932689171 |
| Entity Type | Individual |
| Full Name | TIFFANY BLAIR |
| Credential | LCSW-C |
| Practice Address |
134 Owensville Rd West River MD 20778-9702 |
| Mailing Address |
Po Box 172 Lusby MD 20657-0172 |
| Practice Telephone | 4108674700 |
| Practice Fax Number | 4108674934 |
| Mailing Telephone | 4432143625 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 21415 | MD | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
21415 | MD | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 225 Town Square Dr Ste 3, Lusby, MD 206576535 | 4102310488 | |
| 431 Lessin Dr, Lusby, MD 206574102 | 4432143625 | |
| 6131 Shady Side Rd, Shady Side, MD 207649504 | 4108674700 |
| Street Address |
134 OWENSVILLE RD |
| City | WEST RIVER |
| State | MD |
| Zip Code | 20778-9702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366427692 | Michael Wayne Tongue | Podiatrist | 134 Owensville Rd, West River, MD 20778-9998 | 2005-12-09 |
| 1134603319 | Rebecca Roth | Nurse Practitioner | 134 Owensville Rd, West River, MD 20778-9702 | 2018-09-24 |
| 1659731628 | Jennifer Evans | Social Worker | 134 Owensville Rd, West River, MD 20778 | 2016-03-03 |
| 1871791772 | Andrea Michelle Matthews | Family Medicine | 134 Owensville Rd, West River, MD 20778-9702 | 2007-07-03 |
| 1841368115 | Jana L. Raup | Counselor | 134 Owensville Rd, West River, MD 20778-9998 | 2006-12-02 |
| 1508948324 | Laura C Niewenhous | Nurse Practitioner | 134 Owensville Rd, West River, MD 20778-9998 | 2006-10-20 |
| 1225110067 | Owensville Primary Care,inc | Internal Medicine | 134 Owensville Rd, West River, MD 20778-9998 | 2006-10-20 |
| 1457318339 | Leslie F Brooks | Family Medicine | 134 Owensville Rd, West River, MD 20778-9998 | 2006-04-26 |
| 1215993449 | Wayne D Bierbaum | Internal Medicine | 134 Owensville Rd, West River, MD 20778-9998 | 2006-04-25 |
| 1689639445 | Heather Lynne Brown | Physician Assistant | 134 Owensville Rd, West River, MD 20778-9998 | 2006-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750463568 | Nancy S Bryant | Nurse Practitioner | 134 Owensville Road, West River, MD 20778 | 2006-10-20 |
| 1841551645 | Thomas A Sheesley | Family Medicine | 134 Owensville Road, West River, MD 20778 | 2012-06-07 |
| 1972814192 | Jonathan J Hennessee | Family Medicine | 134 Owensville Road, West River, MD 20778 | 2010-06-23 |
| 1629428990 | Cynthia Bischoff | Lactation Consultant, Non-RN | 1016 Allen Ave, West River, MD 20778-2225 | 2016-06-17 |
| 1164612511 | Patricia N Nowell | Counselor | 5030 Sudley Rd, West River, MD 20778-9716 | 2007-07-31 |
| 1679181846 | Eric J Guida | Dentist | 832 Locust Dr, West River, MD 20778-9745 | 2020-07-14 |
| 1750616413 | Angela Renee Liston | Occupational Therapist | 4322 Owensbrooke Ct, West River, MD 20778-9791 | 2009-10-13 |
| 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 |
|---|---|---|---|---|
| 1659731628 | Jennifer Evans | Social Worker | 134 Owensville Rd, West River, MD 20778 | 2016-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467069 | Pivot Inc. | Social Worker | 1725 E Baltimore St, Baltimore, MD 21231-1508 | 2020-11-02 |
| 1265033716 | Estell Wellness, LLC | Social Worker | 3925 Beech Ave Apt 522, Baltimore, MD 21211-2265 | 2020-11-02 |
| 1669073201 | Deborah Lynn Dey | Social Worker | 810 Bestgate Rd Ste 400, Annapolis, MD 21401-3033 | 2020-11-02 |
| 1265032908 | Ayana S Manzanares | Social Worker | 2507 Holman Ave, Silver Spring, MD 20910-1143 | 2020-10-30 |
| 1669072633 | Petals Behavioral LLC | Social Worker | 12623 Epping Rd, Silver Spring, MD 20906-3865 | 2020-10-29 |
| 1972103752 | Tasha Williams | Social Worker | 3025 Woodring Ave, Parkville, MD 21234-7828 | 2020-10-29 |
| 1821698853 | Britney Buckson | Social Worker | 3710 Mary Ave, Baltimore, MD 21206-2416 | 2020-10-28 |
| 1467052746 | Allison Clayton | Social Worker | 1206 Union Ave, Baltimore, MD 21211-1901 | 2020-10-27 |
| 1841890043 | Juliet Renee Wilson | Social Worker | 1811 Chapel Rd, Havre De Grace, MD 21078-1809 | 2020-10-27 |
| 1457951618 | Betsy Reinstein Dewey | Social Worker | 4618 Derussey Pkwy, Chevy Chase, MD 20815-5332 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
| City | WEST RIVER |
| Zip Code | 20778 |
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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.