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

Individual provider Clinical Social Worker · NPI 1972264190

Tiffany Enrou Khang, LCSW is a Clinical Social Worker in Travis AFB, California. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

101 Bodin Cir
Travis AFB, CA 94535-1809
Phone: (707) 423-5174
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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 2018036903 (MO)

Record details

NPI number1972264190
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 10, 2022
Last updated in NPPESMarch 11, 2022
Certification dateMarch 11, 2022

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