Individual
BLAIR-TIFFANY MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
710 OAKFIELD DR STE 221, BRANDON, FL 33511-4924
(305) 494-2843
Mailing address
11001 GOLDEN SILENCE DR, RIVERVIEW, FL 33579-2341
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW20920
FL
1041C0700X
Clinical Social Worker
Primary
SW20920
FL
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/28/2020
Last updated
03/23/2026
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