Tiffany Brennaman, LCSW
Social Worker in Tucker, GA. Individual provider (NPI-1).
NPI number1538516869
StatusActive
Last updated in NPPESOct 22, 2025
Details
- NPI
- 1538516869
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tiffany Brennaman
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 17, 2016
- Certification date
- Oct 22, 2025
- Last updated
- Oct 22, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | CSW005904 | GA | Yes |
Practice location
4452 Debracy PlaceTucker, GA 30084
Phone 678-800-0778
Mailing address
4452 Debracy PlaceAtlanta, GA 30084
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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.
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All 26 Social Worker providers in Tucker · All 1,463 providers in Tucker
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