National Provider Identifier

Tiffany Susan Moore-Corteville, LCSW

Tiffany Susan Moore-Corteville, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (734) 301-9346.

NPI 1932269099Rochester, NYClinical Social Worker

Profile Overview

NPI
1932269099
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
December 11, 2006
Last Updated
March 24, 2025

Practice Location

  • 18 Harvard St Ste 2
  • Rochester, NY 14607-2607

Phone: (734) 301-9346

Mailing Address

  • 16 Thomas Grv
  • Pittsford, NY 14534-3066

Specialties

  • Clinical Social Worker (1041C0700X)
  • Mental Health Counselor (101YM0800X)
  • Social Worker (104100000X)
Full Record
NPI
1932269099
Entity Type
Individual
Last Name
Moore-Corteville
First Name
Tiffany
Middle Name
Susan
Name Prefix
MS.
Credential
LCSW
Mailing Street Address
16 Thomas Grv
Mailing City
Pittsford
Mailing State
NY
Mailing ZIP Code
14534-3066
Mailing Country
US
Mailing Phone
(734) 301-9346
Practice Street Address
18 Harvard St Ste 2
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-2607
Practice Country
US
Practice Phone
(734) 301-9346
Enumeration Date
December 11, 2006
Last Updated
March 24, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
March 24, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Mental Health Counselor (101YM0800X), Social Worker (104100000X)
Other Identifiers
6801090559 (MI, Michigan Dept Of Community Health), 19984 (CA, Asw Registration Number), 2781209 (University Of The State Of New York, Education Department, Office Of Professions)