Smith, Tiffany Rosalind

Smith, Tiffany Rosalind is an sole proprietor health care provider with primary practice located at 670 Placerville Dr # 2 , Placerville CA 95667-4200. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Smith, Tiffany Rosalind can be contacted via phone (530) 644-2412.

Contact Information

Primary practice address
670 Placerville Dr # 2 Placerville CA 95667-4200
Phone: (530) 644-2412
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 167G00000X California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 95218 California

Profile Details

NPI number 1750632451
LBN Legal business name Smith, Tiffany Rosalind
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2012
Last updated Sep 3rd, 2020 - about 4 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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