Individual
TIFFANY ELSWICK HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3701 LANSDOWNE DR, ASHLAND, KY 41102
(606) 324-3005
(606) 329-1530
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1377
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000352332
ANTHEM BCBS
—
01
—
001723365
MSBCBS
—
01
—
11715426
CAQH
—
01
—
1213545
CHA
—
01
—
308500810
CHAMPUS-TRICARE
—
01
—
4002344681-00
BWC - OHIO WORKERS' COMP
OH
01
—
610661987
CORPHEALTH
—
05
—
7100281150
—
KY
01
—
7240256
AETNA
—
Enumeration date
07/24/2006
Last updated
08/01/2024
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