Provider Demographics
NPI:1053722835
Name:DENEAU, TIFFANY HARO (LCSW)
Entity type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:HARO
Last Name:DENEAU
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:TIFFANY
Other - Middle Name:HARO
Other - Last Name:BAHENA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:TIFFANY HARO BAHENA
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93302-1000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2151 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-4113
Practice Address - Country:US
Practice Address - Phone:661-868-8121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA883041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical