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MARY TIFFIN MSW, LSW
NPI 1790557205
Social Worker - Clinical in Bloomsburg, PA

Active since October 27, 2023PECOS EnrolledAccepts Medicare Assignment
298 E 5TH ST, BLOOMSBURG, PA 17815(570) 317-2999 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Tiffin Msw, Lsw NPPES

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

MARY TIFFIN MSW, LSW (NPI 1790557205) is an individual clinical provider in Bloomsburg, Pennsylvania, licensed in Pennsylvania (CW024341) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (2022).

NPPES Registry Identity

NPI1790557205
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY TIFFINCredential: MSW, LSW
Location Address298 E 5TH STBloomsburg, PA 17815-2353
Mailing Address177 Evergreen DrWinfield, PA 17889-9169 · (570) 716-0669
Phone(570) 317-2999
Sole ProprietorYes
Medical School CMSPennsylvania State University College Of MedicineGraduated 2022
Enumeration DateOctober 27, 2023
Last NPPES UpdateFebruary 2, 2024
NPPES CertifiedFebruary 2, 2024
✔ NPI 1790557205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW024341
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.
Also ListedSocial WorkerTaxonomy 104100000X · License SW129995 (PA)
298 E 5TH ST, Bloomsburg, PA 17815
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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

Mary Tiffin Msw, Lsw 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 ID3971944513
PECOS Enrollment IDI20240514000138, I20260626002971
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 Reassignments

2

Medicare enrollment records show Mary Tiffin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Willow Tree Wellness & Counseling, LLC
0.4 mi
Clinical
214 CENTER ST
Bloomsburg, PA 17815
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 5 clinicians in this Medicare group
NPI 1649521584 (570) 336-9921
Psychogeriatric Services LLC
125 mi
Psychiatry
10320 LITTLE PATUXENT PKWY STE 200
Columbia, MD 21044
  • Reassigned Medicare billing, Maryland, Pennsylvania and Virginia enrollments
  • 163 clinicians in this Medicare group
NPI 1588689483 (301) 593-1315

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
119 services27 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
111 services27 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
36 services19 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
24 services24 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17815 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 $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES

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

REANNA BUEHLER M.S. CCC-SLP
Speech-Language Pathologist
298 E 5TH ST, SUITE 2
BLOOMSBURG, PA 17815
Columbia County (570) 317-2999

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 Mary Tiffin's NPI number?

The NPI number for Mary Tiffin is 1790557205. It was assigned to this individual provider in the NPPES registry on October 27, 2023.

Where is Mary Tiffin located?

Mary Tiffin practices at 298 E 5th St, Bloomsburg, PA 17815. The listed phone number is (570) 317-2999.

What is Mary Tiffin's specialty?

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

Is Mary Tiffin enrolled in Medicare?

Yes. Mary Tiffin 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 organizations bill Medicare for Mary Tiffin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Tiffin reassigns Medicare benefits to 2 organizations: Willow Tree Wellness & Counseling, LLC (Bloomsburg, PA) and Psychogeriatric Services LLC (Columbia, MD). Each 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 Mary Tiffin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Tiffin was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.