Provider Demographics
NPI:1053761833
Name:MAY, TIPHANIE (LCSW)
Entity type:Individual
Prefix:
First Name:TIPHANIE
Middle Name:
Last Name:MAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:
Other - Last Name:MAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW, MSW
Mailing Address - Street 1:140 BRANTINGHAM CT
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:NV
Mailing Address - Zip Code:89403-9540
Mailing Address - Country:US
Mailing Address - Phone:775-799-0985
Mailing Address - Fax:775-260-0717
Practice Address - Street 1:777 E WILLIAM ST STE 108
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701-4057
Practice Address - Country:US
Practice Address - Phone:775-799-0985
Practice Address - Fax:775-260-0717
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-13
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7145-S104100000X
NV8792-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker