| Tiffini Danille Blaisdell, | |
|
701 N Englewood Dr, Crawfordsville, IN 47933-9744 | |
| (888) 714-1927 | |
| Not Available |
| Full Name | Tiffini Danille Blaisdell |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 701 N Englewood Dr, Crawfordsville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235894932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Cummins Behavioral Health Systems Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740232115 PECOS PAC ID: 1850296302 Enrollment ID: O20031206000039 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffini Danille Blaisdell, 821 Aspen Dr, Crawfordsville, IN 47933-2177 Ph: (765) 267-0793 | Tiffini Danille Blaisdell, 701 N Englewood Dr, Crawfordsville, IN 47933-9744 Ph: (888) 714-1927 |
Ms. Jennifer R Peverly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 N Englewood Dr, Crawfordsville, IN 47933 Phone: 765-361-9767 Fax: 765-361-0374 | |
Rebecca D Sprague, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 N Englewood Dr, Crawfordsville, IN 47933 Phone: 765-361-9767 | |
Kaylynn Keedy Ranspach, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1480 Darlington Ave, Crawfordsville, IN 47933 Phone: 765-362-2852 | |
Keith A Brehob, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1480 Darlington Ave, Crawfordsville, IN 47933 Phone: 765-362-2852 | |
Keri E Francis, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 701 N Englewood Dr, Crawfordsville, IN 47933 Phone: 765-361-9767 Fax: 765-361-0374 | |
Mrs. Erin B Peabody, MSW, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 N Englewood Dr, Crawfordsville, IN 47933 Phone: 765-361-9767 Fax: 765-361-0374 |