Martin, Tiffany G.

Martin, Tiffany G. is an individual health care provider with primary practice located at 2329 Wedgewood Dr. Carolina Parenting Solutions, Matthews NC 28104-9253. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martin, Tiffany G. can be contacted via phone (704) 718-8657.

Contact Information

Primary practice address
2329 Wedgewood Dr. Carolina Parenting Solutions Matthews NC 28104-9253
Phone: (704) 718-8657
Fax: (704) 821-4831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C004532 North Carolina

Profile Details

NPI number 1124046453
LBN Legal business name Martin, Tiffany G.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jun 16th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124046453 NPPES
North Carolina MEDICAID 6003618

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