Tiffany M Evans, LMSW is a
Social Worker - Clinical based in Grand Rapids, Michigan. Tiffany M Evans is licensed to practice in Michigan (license number 6801115574) and her current practice location is
790 Fuller Ave Ne, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 336-3909.
NPI number for Tiffany M Evans is 1689047110 and her current mailing address is 790 Fuller Ave Ne, Grand Rapids, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689047110.
Healthcare Provider's Profile
Full Name | Tiffany M Evans |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 790 Fuller Ave Ne, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689047110
- Provider Enumeration Date: 11/05/2015
- Last Update Date: 04/15/2024
Medical Identifiers
Medical identifiers for Tiffany M Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689047110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 6801115574 (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. Tiffany M Evans 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 M Evans, LMSW 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 Ph: (616) 336-3909 | Tiffany M Evans, LMSW 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 Ph: (616) 336-3909 |
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