Tiffany Annette Cloud, MSW, LMSW | |
3715 N Business Dr Ste 104, Fayetteville, AR 72703-5287 | |
(479) 521-1532 | |
(479) 521-9940 |
Full Name | Tiffany Annette Cloud |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3715 N Business Dr Ste 104, Fayetteville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831688381 | NPI | - | NPPES |
231146795 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 9605-M (Arkansas) | Primary |
Entity Name | Chenal Family Therapy Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356604219 PECOS PAC ID: 8325395627 Enrollment ID: O20180718000717 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Annette Cloud, MSW, LMSW 2153 E Joyce Blvd Ste 201, Fayetteville, AR 72703-5285 Ph: (479) 575-9471 | Tiffany Annette Cloud, MSW, LMSW 3715 N Business Dr Ste 104, Fayetteville, AR 72703-5287 Ph: (479) 521-1532 |
Courtney Elaine Goodrum, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-443-5575 | |
Ernestine Dickson, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 516 S East Ave, Fayetteville, AR 72701 Phone: 501-313-1033 | |
Nancy Lou Webb, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 W. Sunbridge, Fayetteville, AR 72703 Phone: 479-725-5224 Fax: 479-750-8967 | |
Carla E Williams, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 905 W Eden Cir, Fayetteville, AR 72701 Phone: 479-409-6167 Fax: 479-587-8703 | |
Jordan Hughes, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2354 N Montana Ave, Fayetteville, AR 72704 Phone: 501-690-3633 | |
Kerri Vollmer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2592 N Gregg Ave, Suite 16, Fayetteville, AR 72703 Phone: 479-582-5565 | |
Mary C Ferguson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 60 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-695-1240 Fax: 479-695-1242 |