Tiffany Goforth
NPI 1366015117ActiveIndividual· Social Worker· Tucson, AZ
Social Worker with Sondermind Provider Network LLC, practicing in Tucson, Arizona. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1366015117 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 20, 2021 |
| Last updated in NPPES | Jul 20, 2021 |
| Certified by provider | Jul 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 16722 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (AZ); Practitioner - Clinical Social Worker (WA) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Sondermind Provider Network LLCColumbus, OH · 1,339 clinicians
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All 278 social workers in Tucson · All social workers in Arizona