MS. TIFFANY SULLIVAN MSW
NPI 1215055983
Social Worker - School in Los Angeles, CA
Active since March 27, 2007
About Ms. Tiffany Sullivan Msw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. TIFFANY SULLIVAN MSW (NPI 1215055983) is an individual school provider in Los Angeles, California, licensed in California (17228) and active in the NPI registry since March 2007.
NPPES Registry Identity
NPI1215055983
Entity TypeIndividualFemale
Primary Taxonomy1041S0200X
Provider Legal NameMS. TIFFANY SULLIVANCredential: MSW
Location Address12101 W WASHINGTON BLVDLos Angeles, CA 90066-5501
Mailing Address12101 W Washington BlvdLos Angeles, CA 90066-5501 · (310) 751-1113
Phone(310) 751-1113
Sole ProprietorYes
Enumeration DateMarch 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215055983 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License✔ Licensed in CA · 17228
12101 W WASHINGTON BLVD, Los Angeles, CA 90066
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community/Behavioral Health
12101 W WASHINGTON BLVD
LOS ANGELES, CA 90066
LOS ANGELES, CA 90066
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215055983, enumerated as an "individual" on March 27, 2007.
The provider is located at 12101 W WASHINGTON BLVD LOS ANGELES, CA 90066 and the phone number is (310) 751-1113.
Social Worker with taxonomy code 1041S0200X and a focus in School.
