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Individual
MS. TIFFANY ANNA RUSH
Active
Individual
MS. TIFFANY ANNA RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-0008276
OH
1041C0700X
Clinical Social Worker
S-8276
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000246008
ANTHEM PIN
OH
01
—
11807472
CAQH #
—
01
—
138585442890
HUMANA ID
OH
Enumeration date
05/25/2006
Last updated
03/03/2026
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