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Contact Information

TIASHANAY M CRIDDLE, LMSW
1905 STADIUM BLVD
JEFFERSON CITY, MO65109-1961
 Phone: 844-853-8937
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for TIASHANAY M CRIDDLE · (Female)

NPI Number 1164179487
Status Active
Credentials LMSW (Licensed Master Social Worker)
Entity Individual
Enumeration date 03/07/2022
Last updated 11/22/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2024038844
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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