Provider Demographics
NPI:1063908333
Name:DIGGS, TIFFANY CHRISTINE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:CHRISTINE
Last Name:DIGGS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:TIFFANY
Other - Middle Name:CHRISTINE
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:700 MANSFIELD DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-3317
Mailing Address - Country:US
Mailing Address - Phone:314-324-6156
Mailing Address - Fax:
Practice Address - Street 1:700 MANSFIELD DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132-3317
Practice Address - Country:US
Practice Address - Phone:314-324-6156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-10
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20170395921041C0700X
AR11597-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical