Individual ProviderTiffany M SiefkenSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2250 Yearling Dr Apt 203, Fort Collins, CO 80525-4469(319) 316-2262PECOS EnrollmentBased on the most recent information from CMS, provider Tiffany M Siefken does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1366068082Provider TypeIndividualFull NameSiefken, Tiffany MCredentialLCSW/LISWGenderFemaleSole ProprietorNoEnumeration Date6/18/2020Last Updated3/28/2024Contact InformationPractice LocationPractice Address2250 Yearling Dr Apt 203, Fort Collins, CO 80525-4469Phone(319) 316-2262Fax(888) 375-1723Mailing LocationMailing Address2250 Yearling Dr Apt 203, Fort Collins, CO 80525-4469Phone(319) 316-2262Fax(888) 375-1723Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense09930293ColoradoCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense100864Iowa