Ms Tiffany Derby Kallhovd, LMSW, CASAC - Clinical Social Worker in Sunnyside, NY

Ms Tiffany Derby Kallhovd, LMSW, CASAC is a Social Worker - Clinical based in Sunnyside, New York. Ms Tiffany Derby Kallhovd is licensed to practice in New York (license number 075643) and her current practice location is 4519 42nd St, Apt 4a, Sunnyside, New York. She can be reached at her office (for appointments etc.) via phone at (631) 445-8875.

NPI number for Ms Tiffany Derby Kallhovd is 1740514272 and her current mailing address is 4519 42nd St, Apt 4a, Sunnyside, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740514272.

Contact Information

Ms Tiffany Derby Kallhovd, LMSW, CASAC
4519 42nd St, Apt 4a,
Sunnyside, NY 11104-2974
(631) 445-8875
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Tiffany Derby Kallhovd
GenderFemale
SpecialitySocial Worker - Clinical
Location4519 42nd St, Sunnyside, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740514272
  • Provider Enumeration Date: 10/01/2009
  • Last Update Date: 04/01/2010

Medical Identifiers

Medical identifiers for Ms Tiffany Derby Kallhovd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740514272NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 075643 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Tiffany Derby Kallhovd is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Tiffany Derby Kallhovd, LMSW, CASAC
4519 42nd St, Apt 4a,
Sunnyside, NY 11104-2974

Ph: (631) 445-8875
Ms Tiffany Derby Kallhovd, LMSW, CASAC
4519 42nd St, Apt 4a,
Sunnyside, NY 11104-2974

Ph: (631) 445-8875

Reviews and Comments


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