TIFFANY RAE NOONAN LICSW, MSW
NPI 1124263637
Social Worker - Clinical in Andover, MA

Active since December 12, 2008
204 ANDOVER ST STE 403, ANDOVER, MA 01810(978) 272-9960 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 28, 2019, Apr 2, 2019 (2 updates tracked since 2019).

About Tiffany Rae Noonan Licsw, Msw NPPES

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

TIFFANY RAE NOONAN LICSW, MSW (NPI 1124263637) is an individual clinical provider in Andover, Massachusetts, licensed in Massachusetts (121870) and active in the NPI registry since December 2008. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124263637
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTIFFANY RAE NOONANCredential: LICSW, MSW
Location Address204 ANDOVER ST STE 403Andover, MA 01810
Mailing Address204 Andover St Ste 403Andover, MA 01810-5702 · (978) 272-9960
Sole ProprietorNo
Enumeration DateDecember 12, 2008
Last NPPES UpdateOctober 28, 20192 updates tracked since enumeration
NPI 1124263637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in MA · 121870 Licensed in MA · 215303 Licensed in MA · 000121870
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.

204 ANDOVER ST STE 403, Andover, MA 01810

Other Names 1

Former Name (1)Tiffany Rae Horne

Secondary Practice Locations 2

Location 16 Kimball Ln Ste 310Lynnfield, MA 01940-2680 · Phone (781) 246-2010 ext. 2086 · Fax (781) 245-0953
Location 2204 Andover St Ste 403Andover, MA 01810 · Phone (978) 272-9960

Other Providers at the Same Location NPPES 11

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

Psychologist (Clinical)
204 ANDOVER ST STE 403
ANDOVER, MA 01810
Social Worker (Clinical)
204 ANDOVER ST STE 403
ANDOVER, MA 01810
Psychologist (Clinical)
204 ANDOVER ST STE 403
ANDOVER, MA 01810
Social Worker (Clinical)
204 ANDOVER ST STE 403
ANDOVER, MA 01810
Counselor (Mental Health)
204 ANDOVER ST STE 403
ANDOVER, MA 01810
Counselor (Mental Health)
204 ANDOVER ST STE 403
ANDOVER, MA 01810
Marriage & Family Therapist
204 ANDOVER ST STE 403
ANDOVER, MA 01810
Marriage & Family Therapist
204 ANDOVER ST STE 403
ANDOVER, MA 01810

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124263637, enumerated as an "individual" on December 12, 2008.

The provider is located at 204 ANDOVER ST STE 403 ANDOVER, MA 01810 and the phone number is (978) 272-9960.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.