Provider Demographics
NPI:1699515973
Name:GORSKI, TIFFANY D (MSW)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:D
Last Name:GORSKI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:D
Other - Last Name:DOREMUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14522 54TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-8962
Mailing Address - Country:US
Mailing Address - Phone:425-953-3479
Mailing Address - Fax:
Practice Address - Street 1:14522 54TH AVE SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-8962
Practice Address - Country:US
Practice Address - Phone:425-953-3479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-25
Last Update Date:2024-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical