Provider Demographics
NPI:1003659129
Name:ASHWOOD, TIFFANY SHARPE (LISW-CP)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:SHARPE
Last Name:ASHWOOD
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 RIDGEFIELD LN
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-5430
Mailing Address - Country:US
Mailing Address - Phone:864-430-9424
Mailing Address - Fax:
Practice Address - Street 1:103 RIDGEFIELD LN
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-5430
Practice Address - Country:US
Practice Address - Phone:864-430-9424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC162711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical