| Tiffany Brown, | |
|
1126 Hartford Ave, Johnston, RI 02919-7109 | |
| (401) 519-1940 | |
| (401) 519-1940 |
| Full Name | Tiffany Brown |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 5 Years |
| Location | 1126 Hartford Ave, Johnston, Rhode Island |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922676055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-county Community Action Agency | 0648171181 | 20 |
| Prospect Chartercare Rwmc, Llc | 0547492696 | 66 |
| Entity Name | Tri-county Community Action Agency |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396780086 PECOS PAC ID: 0648171181 Enrollment ID: O20040116000778 |
| Entity Name | Prospect Chartercare Sjhsri LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588089759 PECOS PAC ID: 7315179314 Enrollment ID: O20140722001928 |
| Entity Name | Prospect Chartercare Rwmc, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285059287 PECOS PAC ID: 0547492696 Enrollment ID: O20140728001672 |
| Entity Name | Chartercare Our Lady of Fatima Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346079209 PECOS PAC ID: 9638686447 Enrollment ID: O20250728001026 |
| Entity Name | Chartercare Roger Williams Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649009507 PECOS PAC ID: 1456868736 Enrollment ID: O20250730002838 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Brown, 386 Stanley St, Fall River, MA 02720-6009 Ph: (508) 324-3550 | Tiffany Brown, 1126 Hartford Ave, Johnston, RI 02919-7109 Ph: (401) 519-1940 |