MS. TIFFANY CASACCIO NPI 1659723294

NPI Information

NPI: 1659723294
Provider Name: MS. TIFFANY CASACCIO
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3300 36TH ST SE
GRAND RAPIDS, MI
ZIP 49512
Phone: (616) 965-3356
Get Directions

MS. Tiffany Casaccio is a professional counselor in Grand Rapids, MI. MS. Tiffany Casaccio NPI is 1659723294. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3300 36TH ST SE
GRAND RAPIDS, MI
ZIP 49512-810
Phone: (616) 965-3356

The enumeration date for this NPI number is 7/7/2016 and was last updated on 1/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	362171079	MEDICAID	ILLINOIS
2	362235165	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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