Provider Demographics
NPI:1437395514
Name:MOSS, TIFFANY BETH (MSW, LSW)
Entity type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:BETH
Last Name:MOSS
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:MS
Other - First Name:TIFFANY
Other - Middle Name:
Other - Last Name:OECKINGHAUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:492 ROUTE 57 W
Mailing Address - Street 2:FAMILY GUIDANCE CENTER OF WARREN COUNTY
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-4411
Mailing Address - Country:US
Mailing Address - Phone:908-689-1000
Mailing Address - Fax:908-689-4529
Practice Address - Street 1:550 MARSHALL STREET
Practice Address - Street 2:FAMILY GUIDANCE CENTER OF WARREN COUNTY
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865
Practice Address - Country:US
Practice Address - Phone:908-454-5181
Practice Address - Fax:908-213-0644
Is Sole Proprietor?:No
Enumeration Date:2008-12-19
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL04392200104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker