Provider Demographics
NPI:1558142232
Name:THORPE, TIFFNEY (LSW, MSW)
Entity Type:Individual
Prefix:MRS
First Name:TIFFNEY
Middle Name:
Last Name:THORPE
Suffix:
Gender:F
Credentials:LSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 E MAIN ST # 79
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-3717
Mailing Address - Country:US
Mailing Address - Phone:614-348-6852
Mailing Address - Fax:
Practice Address - Street 1:4889 SINCLAIR RD # 7
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-5432
Practice Address - Country:US
Practice Address - Phone:614-999-9999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.2309953104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker