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TIFFANY NICOLE HENDERSHOT LICSW
NPI 1649748930
Social Worker - Clinical in South Charleston, WV

Active since November 05, 2018PECOS EnrolledAccepts Medicare Assignment
100 MILITARY DR, SOUTH CHARLESTON, WV 25309(304) 352-3613 Get Directions Write a Review

NPPES record last updated: November 5, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tiffany Nicole Hendershot Licsw NPPES

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

TIFFANY NICOLE HENDERSHOT LICSW (NPI 1649748930) is an individual clinical provider in South Charleston, West Virginia, licensed in West Virginia (DP00944330) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1649748930
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTIFFANY NICOLE HENDERSHOTCredential: LICSW
Location Address100 MILITARY DRSouth Charleston, WV 25309-8246
Mailing Address2525 Pigeon Cove RdWarfordsburg, PA 17267-8910 · (304) 320-1165
Phone(304) 352-3613
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 5, 2018
✔ NPI 1649748930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WV · DP00944330
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.
100 MILITARY DR, South Charleston, WV 25309
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tiffany Nicole Hendershot Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375060890
PECOS Enrollment IDI20260529003087
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tiffany Hendershot reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Upstream Behavioral Health LLC
209 mi
Clinical
144 GROVE HEIGHTS RD
Berkeley Springs, WV 25411
  • Reassigned Medicare billing, West Virginia enrollment
NPI 1962352211 (304) 207-0515

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.20 – $164.59
Typical copayment $0.00 (range $13.30 – $41.14)
Most-billed visit code NA
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Hendershot's NPI number?

The NPI number for Tiffany Hendershot is 1649748930. It was assigned to this individual provider in the NPPES registry on November 5, 2018.

Where is Tiffany Hendershot located?

Tiffany Hendershot practices at 100 Military Dr, South Charleston, WV 25309. The listed phone number is (304) 352-3613.

What is Tiffany Hendershot's specialty?

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

Is Tiffany Hendershot enrolled in Medicare?

Yes. Tiffany Hendershot is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tiffany Hendershot's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Hendershot reassigns Medicare benefits to Upstream Behavioral Health LLC (Berkeley Springs, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiffany Hendershot's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Hendershot accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Tiffany Hendershot as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tiffany Hendershot was last updated on November 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.