Provider Demographics
NPI:1386417426
Name:MCNEILL, TIFFANIE TIONNE (LMSW)
Entity type:Individual
Prefix:MISS
First Name:TIFFANIE
Middle Name:TIONNE
Last Name:MCNEILL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2280 WELLINGTON WOODS DR
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-6197
Mailing Address - Country:US
Mailing Address - Phone:202-609-1082
Mailing Address - Fax:
Practice Address - Street 1:975 SOLOMONS ISLAND RD N STE 119
Practice Address - Street 2:
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-3917
Practice Address - Country:US
Practice Address - Phone:410-535-5400
Practice Address - Fax:410-535-2220
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker