# MS. TIFFANY CONYERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1124256763
- **Gender:** F
- **Credential:** LCSW, LISW-CP, PMH-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 12122 | SC | Yes |
| 1041C0700X | Clinical Social Worker | CSW005601 | GA | — |

## Other

- **Enumeration date:** 06/22/2009
- **Last updated:** 08/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 11937021 | CAQH | — |