Provider Demographics
NPI:1750170114
Name:TIMBERMAN, TIFFANY (DSW)
Entity type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:
Last Name:TIMBERMAN
Suffix:
Gender:
Credentials:DSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 SAND BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSGROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:08318-3621
Mailing Address - Country:US
Mailing Address - Phone:856-275-1657
Mailing Address - Fax:
Practice Address - Street 1:646 NEW JERSEY 18
Practice Address - Street 2:BLDG. A STE 105.
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816
Practice Address - Country:US
Practice Address - Phone:732-718-8249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06748600104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker