Tiffany Crystal Cordova, LCSW
Social Worker, Clinical in Elmira, OR. Individual provider (NPI-1).
Details
- NPI
- 1679888366
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Crystal Cordova
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2010
- Certification date
- Jan 21, 2026
- Last updated
- Jan 21, 2026
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 |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | L11027 | OR | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
24934 Fir Grove LnElmira, OR 97437-9751
Phone 541-234-3255
Mailing address
24934 Fir Grove LnElmira, OR 97437-9751
Phone 541-234-3255 · Fax 541-858-8167
Other practice locations
Eugene, OR 97401-2443
Phone 541-505-8426 · Fax 541-515-6938
Eugene, OR 97401-3238
Phone 541-342-8437
Springfield, OR 97477-8800
Phone 541-222-2185 · Fax 541-222-2194
Eugene, OR 97401-3501
Phone 541-686-7376 · Fax 541-434-7498
Eugene, OR 97401-3746
Phone 458-205-7085 · Fax 458-205-7089
Cottage Grove, OR 97424-9700
Phone 541-767-5200 · Fax 541-767-5310
Is something wrong?
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