Individual ProviderTiffany McphersonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1329 Ammon Park Dr, Ammon, ID 83406-4591(208) 709-3164PECOS EnrollmentBased on the most recent information from CMS, provider Tiffany Mcpherson 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 2 days ago.Profile DetailsProvider ID1699952663Provider TypeIndividualFull NameMcpherson, TiffanyCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date1/22/2008Last Updated10/22/2024Contact InformationPractice LocationPractice Address1329 Ammon Park Dr, Ammon, ID 83406-4591Phone(208) 709-3164FaxUnlisted FaxMailing LocationMailing Address1329 Ammon Park Dr, Ammon, ID 83406-4591Phone(208) 709-3164FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense30719IdahoCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6059007-3501Utah