Provider Demographics
NPI:1548895816
Name:GRAHAM, TIFFANY E (LCSW, MCAP, QS)
Entity type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:E
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:LCSW, MCAP, QS
Other - Prefix:MS
Other - First Name:TIFFANY
Other - Middle Name:E
Other - Last Name:ASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RCSWI, MSW
Mailing Address - Street 1:150 E PALMETTO PARK RD STE 800
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-4833
Mailing Address - Country:US
Mailing Address - Phone:561-757-0091
Mailing Address - Fax:754-227-7804
Practice Address - Street 1:150 E PALMETTO PARK RD STE 800
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-4833
Practice Address - Country:US
Practice Address - Phone:561-757-0091
Practice Address - Fax:754-227-7804
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-07
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW180911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical