| Tiffany Casey-omosowon, LICSW | |
| 1200 First St Ne, 9th Floor, Washington, DC 20002 | |
| (803) 378-7557 | |
| Not Available | 
| Full Name | Tiffany Casey-omosowon | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 1200 First St Ne, 9th Floor, Washington, District Of Columbia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184032088 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC50079621 (District Of Columbia) | Primary | 
| Entity Name | Magnolia Behavior Health Center Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1417730466 PECOS PAC ID: 5193165645 Enrollment ID: O20240501000129 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tiffany Casey-omosowon, LICSW 2696 Winbrell Ct, Waldorf, MD 20601-4959 Ph: () - | Tiffany Casey-omosowon, LICSW 1200 First St Ne, 9th Floor, Washington, DC 20002 Ph: (803) 378-7557 | 
| Ms. Alnita I Miller, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3230 Pennsylvania Ave Se, Suite # 213, Washington, DC 20020 Phone: 202-583-1181 Fax: 202-583-1186 | |
| Ms. Maura A Healy, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1935 11th St Nw, #2, Washington, DC 20001 Phone: 202-483-1001 | |
| Mrs. Pamela Campbell, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7826 Eastern Ave Nw, Suite Ll-18, Washington, DC 20012 Phone: 202-291-0912 | |
| Mr. Brandon Joseph Stratford, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1443 Euclid St Nw, Washington, DC 20009 Phone: 202-255-0021 | |
| Ms. Ann S. Brown, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2510 Virginia Ave Nw, Washington, DC 20037 Phone: 202-965-5755 | |
| James Fletcher Robinson Iv, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3130 Wisconsin Ave Nw, # 716, Washington, DC 20016 Phone: 202-232-5171 | |
| Janelle Ayana Phillip, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Irving St Nw, Washington, DC 20422 Phone: 202-745-8000 |