Provider Demographics
NPI:1568677433
Name:SAHLMAN, TIFANNIE (LCSW)
Entity Type:Individual
Prefix:
First Name:TIFANNIE
Middle Name:
Last Name:SAHLMAN
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 1:10405 DOUBLE R BLVD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-8905
Mailing Address - Country:US
Mailing Address - Phone:775-827-2400
Mailing Address - Fax:
Practice Address - Street 1:10405 DOUBLE R BLVD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-8905
Practice Address - Country:US
Practice Address - Phone:775-827-2400
Practice Address - Fax:775-827-2488
Is Sole Proprietor?:No
Enumeration Date:2007-05-13
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4821-S104100000X
NVIC-4661041C0700X
NV5592-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
1184029464OtherGROUP NPI
27-1585461OtherTIN