Individual provider · NPI-1

Tiffany Bazemore, LCSW

Social Worker, Clinical · Rocky Mount, NC

NPI number1104255041
StatusActive
Last updated in NPPESNov 1, 2013

Details

NPI
1104255041
Entity type
Individual (NPI-1)
Name
Miss Tiffany Bazemore
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 1, 2013
Last updated
Nov 1, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalC008515NCYes

Practice location

224 Browning Ln
Rocky Mount, NC 27804-9079

Phone 252-442-4176

Mailing address

224 Browning Ln
Rocky Mount, NC 27804-9079

Phone 252-442-4176

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, Clinical providers in Rocky Mount, NC