Jeanette M Tyson, LCSW
Social Worker in South Orange, New Jersey
1407059793- Practice location
- 160 Garfield Pl, South Orange, NJ 07079-2107
- Phone
- 973-738-3823
- Fax
- —
- Last updated
- December 3, 2021
Jeanette Marlene Tyson is a Social Worker based in South Orange, NJ. Jeanette Marlene Tyson practices in South Orange, NJ and has the professional credentials of LCSW. The NPI Number for Jeanette Marlene Tyson is 1407059793 and holds a License No. 44SL05287200 (NJ). The current practice location address for Jeanette Marlene Tyson is 160 Garfield Pl, South Orange, NJ 07079-2107 and can be reached out via phone at 973-738-3823.
Provider Profile Details
- NPI Number
- 1407059793
- Provider Name
- Jeanette Marlene Tyson
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 160 Garfield Pl, South Orange, NJ 07079-2107
- Phone Number
- 973-738-3823
- Primary Taxonomy
- Social Worker · 104100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 6, 2007
- Last Update Date
- December 3, 2021
- Certification Date
- December 3, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 160 Garfield Pl
South Orange, NJ 07079-2107 - City
- South Orange
- State
- New Jersey
- Zip
- 07079-2107
- Phone Number
- 973-738-3823
Provider Business Mailing Address Details
- Address
- 160 Garfield Pl
South Orange, NJ 07079-2107 - City
- South Orange
- State
- NJ
- Zip
- 07079-2107
- Phone Number
- 973-738-3823
License Information
- License Number
- 44SL05287200
- License State
- NJ
- Taxonomy
- Social Worker · 104100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Workers near South Orange, NJ
View all Social Workers in South Orange →Frequently Asked Questions
What is the NPI number of Jeanette M Tyson, LCSW?
The NPI number of Jeanette M Tyson, LCSW is 1407059793. It was assigned on June 6, 2007 and is currently active in the NPPES registry.
What is the specialty of Jeanette M Tyson, LCSW?
Jeanette M Tyson, LCSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44SL05287200.
Where does Jeanette M Tyson, LCSW practice?
The practice location is 160 Garfield Pl, South Orange, NJ 07079-2107. The office can be reached at 973-738-3823 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407059793 directly on the NPPES registry website.