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Tiffany McClendon, LCSW

Social Worker in Dacula, GA. Individual provider (NPI-1).

NPI number1023949765
StatusActive
Last updated in NPPESSep 2, 2026

Details

NPI
1023949765
Entity type
Individual (NPI-1)
Name
Mrs. Tiffany McClendon
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
May 28, 2026
Certification date
Sep 2, 2026
Last updated
Sep 2, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

1862 Auburn Rd Ste 118
Dacula, GA 30019-1618

Phone 404-919-4144

Mailing address

1862 Auburn Rd
Dacula, GA 30019-1676

Phone 404-919-4144

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Social Worker providers in Dacula, GA

All 8 Social Worker providers in Dacula · All 898 providers in Dacula

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