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

Individual provider Clinical Social Worker · NPI 1649748930

Tiffany Nicole Hendershot, LICSW is a Clinical Social Worker in South Charleston, West Virginia. Qualified in 2013, 13 years ago. Licensed in West Virginia.

Years since qualifying
13
Licensed in
WV
In the registry since
2018
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

100 Military Dr
South Charleston, WV 25309-8246
Phone: (304) 352-3613
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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 DP00944330 (WV)

Record details

NPI number1649748930
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 5, 2018
Last updated in NPPESNovember 5, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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