TIFFANY GULLORD LICSW
NPI 1881313526
Social Worker - Clinical in Fairmont, MN

Q: What is Tiffany Gullord's NPI number?

The NPI number for Tiffany Gullord is 1881313526. It was assigned to this individual provider in the NPPES registry on August 25, 2022.

Q: What is Tiffany Gullord's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tiffany Gullord was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 25, 2022PECOS EnrolledAccepts Medicare Assignment

800 MEDICAL CENTER DR, FAIRMONT, MN 56031(507) 238-8100 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 23, 2022, Aug 25, 2022 (2 updates tracked since 2022).

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About Tiffany Gullord Licsw NPPES

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

TIFFANY GULLORD LICSW (NPI 1881313526) is an individual clinical provider in Fairmont, Minnesota, licensed in Minnesota (20666) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1881313526

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTIFFANY GULLORDCredential: LICSW

Location Address800 MEDICAL CENTER DRFairmont, MN 56031-4575

Mailing Address800 Medical Center DrFairmont, MN 56031-4575 · (507) 238-8100

Phone(507) 238-8100

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 25, 2022

Last NPPES UpdateSeptember 23, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2022

✔ NPI 1881313526 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 MN · 20666

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.

800 MEDICAL CENTER DR, Fairmont, MN 56031

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tiffany Gullord 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 ID9931585387

PECOS Enrollment IDI20221007001990

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56031 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 $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 20

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

DAVID KRUSEMARK CRNA

Nurse Anesthetist, Certified Registered