National Provider Identifier

Tiffany Marie Double, LCSW

Tiffany Marie Double, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Pittsford, NY and a listed phone number of (585) 204-0554.

NPI 1285394379Pittsford, NYClinical Social Worker

Profile Overview

NPI
1285394379
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
December 30, 2021
Last Updated
November 14, 2025

Practice Location

  • 1160K Pittsford Victor Road Ste 2-6
  • Pittsford, NY 14534-3825

Phone: (585) 204-0554

Mailing Address

  • 1160K Pittsford Victor RD Ste 2-6
  • Pittsford, NY 14534-3825

Specialties

  • Clinical Social Worker (1041C0700X)
  • Social Worker (104100000X)
Full Record
NPI
1285394379
Entity Type
Individual
Last Name
Double
First Name
Tiffany
Middle Name
Marie
Credential
LCSW
Provider Other Last Name
Bombardo
Provider Other First Name
Tiffany
Provider Other Middle Name
M
Provider Other Credential Text
LMSW
Provider Other Last Name Type Code
1
Mailing Street Address
1160K Pittsford Victor RD Ste 2-6
Mailing City
Pittsford
Mailing State
NY
Mailing ZIP Code
14534-3825
Mailing Country
US
Mailing Phone
(585) 204-0554
Practice Street Address
1160K Pittsford Victor Road Ste 2-6
Practice City
Pittsford
Practice State
NY
Practice ZIP Code
14534-3825
Practice Country
US
Practice Phone
(585) 204-0554
Enumeration Date
December 30, 2021
Last Updated
November 14, 2025
Sex
Female
Sole Proprietor
No
Certification Date
November 14, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Social Worker (104100000X)