Provider Demographics
NPI:1609678713
Name:HOWELL, TIFFANY MICHELLE (LMSW)
Entity type:Individual
Prefix:MISS
First Name:TIFFANY
Middle Name:MICHELLE
Last Name:HOWELL
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:TIFFANY
Other - Middle Name:MICHELLE
Other - Last Name:HOWELL-JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16 BRACE RD
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-1825
Mailing Address - Country:US
Mailing Address - Phone:860-351-3236
Mailing Address - Fax:
Practice Address - Street 1:16 BRACE RD
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-1825
Practice Address - Country:US
Practice Address - Phone:860-351-3236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT307101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health