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

Tiffany Gullord, LICSW

Individual provider Clinical Social Worker · NPI 1881313526

Tiffany Gullord, LICSW is a Clinical Social Worker in Fairmont, Minnesota. Qualified in 2012, 14 years ago. Practices with Mayo Clinic Health System-Southwest Minnesota Region, a 667-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2022
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

800 Medical Center Dr
Fairmont, MN 56031-4575
Phone: (507) 238-8100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 20666 (MN)

Record details

NPI number1881313526
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 25, 2022
Last updated in NPPESSeptember 23, 2022
Certification dateSeptember 23, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mayo Clinic Health System-Southwest Minnesota Region — 667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairmont