TIFFINI DANILLE BLAISDELL – Clinical Social Worker, NPI 1235894932

TIFFINI DANILLE BLAISDELL is a healthcare provider. based in Crawfordsville, Indiana. specializing in CLINICAL SOCIAL WORKER. The NPI Number for TIFFINI DANILLE BLAISDELL is 1235894932

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
TIFFINI DANILLE BLAISDELL
NPI
1235894932
Phone
(888) 714-1927
Address
701 N ENGLEWOOD DR
Enumeration Date
8 November 2021
Last Update Date
8 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8887141927
Graduation Year
2021 (5 years ago)
PAC ID
5698203990
Group Practice PAC ID
1850296302
Professional Enrollment ID
I20250115000186
Address ID
IN462415042IN5638XCIRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

1,711 CLINICAL SOCIAL WORKER in IN

Provider Addresses for TIFFINI DANILLE BLAISDELL

  • 701 N ENGLEWOOD DR

    CRAWFORDSVILLE, IN 479339744

    Phone: (888) 714-1927

    Type: Location

  • 821 ASPEN DR

    CRAWFORDSVILLE, IN 479332177

    Phone: (765) 267-0793

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250115000186IClinical Social WorkerINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47933)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850296302View full group profile
NameSpecialtyState
Clinical Social WorkerIN
Clinical Social WorkerIN
P S Y C H I A T R YVA
Mental Health CounselorIN
-IN
Nurse PractitionerIN
N E U R O P S Y C H I A T R YIN
-IN
Mental Health CounselorKY
Nurse PractitionerIN

Reviews

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Frequently asked questions

Does TIFFINI DANILLE BLAISDELL share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TIFFINI DANILLE BLAISDELL uses 1235894932.
Can I rely on TIFFINI DANILLE BLAISDELL being an active provider?
As of the registry snapshot, TIFFINI DANILLE BLAISDELL is marked active.
What is TIFFINI DANILLE BLAISDELL's specialty?
The listing groups TIFFINI DANILLE BLAISDELL with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for TIFFINI DANILLE BLAISDELL?
TIFFINI DANILLE BLAISDELL's geographic hint is Crawfordsville, Indiana in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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