Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tifani Johanna Holloway, CSW

Individual provider Counselor · NPI 1497008379

Tifani Johanna Holloway, CSW is a Clinical Social Worker in Salt Lake City, Utah. Qualified in 2011, 15 years ago. Practices with Valley Behavioral Health Incorporated, a 85-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
15
Licensed in
UT
In the registry since
2012
Specialties on file
3
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Practice location Address checks out

4460 S Highland Dr
Salt Lake City, UT 84124-3543
Phone: (888) 949-4864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8041879-3501 (UT)
Counselor Taxonomy 101Y00000X · Licence 8041879-3502 (UT)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1497008379
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSW
Sole proprietorNo
NPI enumeratedOctober 17, 2012
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Valley Behavioral Health Incorporated — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Salt Lake City