Provider Demographics
NPI:1427399120
Name:SPAULDING WRONA, TIFFANY K (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:TIFFANY
Middle Name:K
Last Name:SPAULDING WRONA
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:MS
Other - First Name:TIFFANY
Other - Middle Name:K
Other - Last Name:SPAULDING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:3510 BRENBROOK DR
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-4902
Mailing Address - Country:US
Mailing Address - Phone:410-496-6441
Mailing Address - Fax:410-496-6448
Practice Address - Street 1:3510 BRENBROOK DR
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-4902
Practice Address - Country:US
Practice Address - Phone:410-496-6441
Practice Address - Fax:410-496-6448
Is Sole Proprietor?:No
Enumeration Date:2013-03-06
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD160201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical