Provider Demographics
NPI:1821976051
Name:SILVA, TIFFANY ROCKWELL (LCSW)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:ROCKWELL
Last Name:SILVA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:
Other - Last Name:ROCKWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3611 BRASELTON HWY STE 201
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-4673
Mailing Address - Country:US
Mailing Address - Phone:678-451-7006
Mailing Address - Fax:770-783-8927
Practice Address - Street 1:3611 BRASELTON HWY STE 201
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-4673
Practice Address - Country:US
Practice Address - Phone:678-451-7006
Practice Address - Fax:770-783-8927
Is Sole Proprietor?:No
Enumeration Date:2025-08-25
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0081611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical