Ms Tiffany Susan Moore-corteville, LCSW is a
Social Worker - Clinical based in Rochester, New York. Ms Tiffany Susan Moore-corteville is licensed to practice in New York (license number 091298-01) and her current practice location is
18 Harvard St Ste 2, Rochester, New York. She can be reached at her office (for appointments etc.) via phone at
(734) 301-9346.
NPI number for Ms Tiffany Susan Moore-corteville is 1932269099 and her current mailing address is 16 Thomas Grv, Pittsford, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932269099.
Healthcare Provider's Profile
| Full Name | Ms Tiffany Susan Moore-corteville |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 18 Harvard St Ste 2, Rochester, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1932269099
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 03/24/2025
Medical Identifiers
Medical identifiers for Ms Tiffany Susan Moore-corteville such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932269099 | NPI | - | NPPES |
| 6801090559 | Other | MI | MICHIGAN DEPT OF COMMUNITY HEALTH |
| 19984 | Other | CA | ASW REGISTRATION NUMBER |
| 2781209 | Other | | UNIVERSITY OF THE STATE OF NEW YORK, EDUCATION DEPARTMENT, OFFICE OF PROFESSIONS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LMSW 6801090559 (Michigan) | Secondary |
| 104100000X | Social Worker | 6801090559 (Michigan) | Secondary |
| 101YM0800X | Counselor - Mental Health | ASW 19984 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | LLMSW 6801090559 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 091298-01 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Tiffany Susan Moore-corteville is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Tiffany Susan Moore-corteville, LCSW
16 Thomas Grv,
Pittsford, NY 14534-3066
Ph: (734) 301-9346 | Ms Tiffany Susan Moore-corteville, LCSW
18 Harvard St Ste 2,
Rochester, NY 14607-2607
Ph: (734) 301-9346 |
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