Provider Demographics
NPI:1457430746
Name:TIFFANY, LINDA W (MSW EDD LCSW)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:W
Last Name:TIFFANY
Suffix:
Gender:F
Credentials:MSW EDD LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6714 PATTERSON AVENUE
Mailing Address - Street 2:SUITE 101 CO THE WOMENS COUNSELING CENTER
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226
Mailing Address - Country:US
Mailing Address - Phone:804-288-2217
Mailing Address - Fax:804-288-2217
Practice Address - Street 1:6714 PATTERSON AVENUE
Practice Address - Street 2:SUITE 101 THE WOMENS COUNSELING CENTER
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226
Practice Address - Country:US
Practice Address - Phone:804-288-2217
Practice Address - Fax:804-288-2217
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040009541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical