Provider Demographics
NPI:1295089050
Name:BENFORD, TIFFANY (LCSW)
Entity type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:
Last Name:BENFORD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:TIFFANY
Other - Middle Name:
Other - Last Name:YEOMANS-BENFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5509 CUMBERLAND PLAIN DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-6372
Mailing Address - Country:US
Mailing Address - Phone:919-961-1757
Mailing Address - Fax:
Practice Address - Street 1:470 MAIN ST
Practice Address - Street 2:ROUTE 130
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-2047
Practice Address - Country:US
Practice Address - Phone:508-760-1475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-01
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker