Tifani Johanna Holloway, CSW is a medicare enrolled "Social Worker - Clinical" provider in Salt Lake City, Utah. Her current practice location is
4460 S Highland Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at
(888) 949-4864.
Tifani Johanna Holloway is licensed to practice in Utah (license number 8041879-3501) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497008379.
Healthcare Provider's Profile
Full Name | Tifani Johanna Holloway |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 4460 S Highland Dr, Salt Lake City, Utah |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Tifani Johanna Holloway attended and graduated from in
NPI Data:
- NPI Number: 1497008379
- Provider Enumeration Date: 10/17/2012
- Last Update Date: 08/27/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Tifani Johanna Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497008379 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 8041879-3502 (Utah) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 8041879-3501 (Utah) | 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. Tifani Johanna Holloway is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tifani Johanna Holloway, CSW 4460 S Highland Dr, Salt Lake City, UT 84124-3543 Ph: (888) 949-4864 | Tifani Johanna Holloway, CSW 4460 S Highland Dr, Salt Lake City, UT 84124-3543 Ph: (888) 949-4864 |
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