Provider Demographics
NPI:1326205840
Name:SINCENO, TIFFANY N (LCSW)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:N
Last Name:SINCENO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2904
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23327-2904
Mailing Address - Country:US
Mailing Address - Phone:757-410-2566
Mailing Address - Fax:888-374-6910
Practice Address - Street 1:3145 VIRGINIA BEACH BLVD
Practice Address - Street 2:STE 108
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-6950
Practice Address - Country:US
Practice Address - Phone:757-410-2566
Practice Address - Fax:888-374-6910
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0791881041C0700X
VA09040088431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical