Provider Demographics
NPI:1932562162
Name:BARTHELEMY, TIFFANY (LCSW, LCADC)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:BARTHELEMY
Suffix:
Gender:F
Credentials:LCSW, LCADC
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:D
Other - Last Name:BARTHELEMY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3819 WYTHE CT
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-0076
Mailing Address - Country:US
Mailing Address - Phone:862-220-8419
Mailing Address - Fax:
Practice Address - Street 1:3819 WYTHE CT
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-0076
Practice Address - Country:US
Practice Address - Phone:862-220-8419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-04
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00236700101YA0400X
10075901041S0200X
NJ44SC057486001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Multi-Specialty