TIFFANY SHANAE CLARKE
NPI 1053976118
Social Worker - Clinical in Bala Cynwyd, PA

Active since May 04, 2019
104 BALA AVE, BALA CYNWYD, PA 19004(484) 734-0427 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2022, May 20, 2019, May 5, 2019 (3 updates tracked since 2019).

About Tiffany Shanae Clarke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY SHANAE CLARKE (NPI 1053976118) is an individual clinical provider in Bala Cynwyd, Pennsylvania and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1053976118
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTIFFANY SHANAE CLARKE
Location Address104 BALA AVEBala Cynwyd, PA 19004-3038
Mailing Address104 Bala AveBala Cynwyd, PA 19004-3038 · (484) 734-0427
Sole ProprietorYes
Enumeration DateMay 4, 2019
Last NPPES UpdateApril 11, 20223 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
NPI 1053976118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
104 BALA AVE, Bala Cynwyd, PA 19004

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
104 BALA AVE
BALA CYNWYD, PA 19004
Counselor (Mental Health)
104 BALA AVE
BALA CYNWYD, PA 19004
Marriage & Family Therapist
104 BALA AVE
BALA CYNWYD, PA 19004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Clarke's NPI number?

The NPI number for Tiffany Clarke is 1053976118. It was assigned to this individual provider in the NPPES registry on May 4, 2019.

Where is Tiffany Clarke located?

Tiffany Clarke practices at 104 Bala Ave, Bala Cynwyd, PA 19004. The listed phone number is (484) 734-0427.

What is Tiffany Clarke's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Tiffany Clarke was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.