Tiffany Lynae Sybesma, is a
Social Worker - Clinical based in Modesto, California. Tiffany Lynae Sybesma is licensed to practice in California (license number 32610) and her current practice location is
1800 Tully Rd, Suite F, Modesto, California. She can be reached at her office (for appointments etc.) via phone at
(209) 576-1750.
NPI number for Tiffany Lynae Sybesma is 1346575388 and her current mailing address is 1800 Tully Rd, Suite F, Modesto, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346575388.
Healthcare Provider's Profile
| Full Name | Tiffany Lynae Sybesma |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1800 Tully Rd, Modesto, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1346575388
- Provider Enumeration Date: 10/08/2009
- Last Update Date: 03/15/2012
Medical Identifiers
Medical identifiers for Tiffany Lynae Sybesma such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346575388 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 32610 (California) | 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. Tiffany Lynae Sybesma 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 |
|---|
Tiffany Lynae Sybesma,
1800 Tully Rd, Suite F,
Modesto, CA 95350-2946
Ph: (209) 576-1750 | Tiffany Lynae Sybesma,
1800 Tully Rd, Suite F,
Modesto, CA 95350-2946
Ph: (209) 576-1750 |
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