Provider Demographics
NPI:1427468610
Name:BANDOW, TIFFANY (LMSW)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:BANDOW
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:
Other - Last Name:BANDOW-TRIPLETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LISW
Mailing Address - Street 1:520 WALNUT ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-4140
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:520 WALNUT ST
Practice Address - Street 2:SUITE 401
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-4140
Practice Address - Country:US
Practice Address - Phone:515-423-2333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-28
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06533104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker