Ms Tiffany Susan Moore-corteville, LMSW is a
Social Worker based in Harbor Springs, Michigan. Ms Tiffany Susan Moore-corteville is licensed to practice in Michigan (license number 6801090559) and her current practice location is
3434 M 119 Ste A, Harbor Springs, Michigan. She can be reached at her office (for appointments etc.) via phone at
(734) 301-9346.
NPI number for Ms Tiffany Susan Moore-corteville is 1932269099 and her current mailing address is 111 Williams St, Petoskey, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932269099.
Healthcare Provider's Profile
| Full Name | Ms Tiffany Susan Moore-corteville |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 3434 M 119 Ste A, Harbor Springs, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1932269099
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Ms Tiffany Susan Moore-corteville such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932269099 | NPI | - | NPPES |
| 6801090559 | Other | MI | MICHIGAN DEPT OF COMMUNITY HEALTH |
| 19984 | Other | CA | ASW REGISTRATION NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ASW 19984 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | LLMSW 6801090559 (Michigan) | Secondary |
| 101YM0800X | Counselor - Mental Health | LMSW 6801090559 (Michigan) | Secondary |
| 104100000X | Social Worker | 6801090559 (Michigan) | 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 Susan Moore-corteville 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 Address | Practice Location Address |
|---|
Ms Tiffany Susan Moore-corteville, LMSW
111 Williams St,
Petoskey, MI 49770-2545
Ph: (734) 301-9346 | Ms Tiffany Susan Moore-corteville, LMSW
3434 M 119 Ste A,
Harbor Springs, MI 49740-9373
Ph: (734) 301-9346 |
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