Jeni Tyson LCSW LLC
Social Worker, Clinical in Maplewood, New Jersey
1427466838- Practice location
- 2115 Millburn Ave Ste 105, Maplewood, NJ 07040-3724
- Phone
- 973-738-3823
- Fax
- 973-378-5577
- Last updated
- July 29, 2014
Jeni Tyson LCSW LLC is a healthcare organization based in Maplewood, NJ. Jeni Tyson LCSW LLC practices in Maplewood, NJ. The NPI Number for Jeni Tyson LCSW LLC is 1427466838 and holds a License No. 44SC05337100 (NJ). The current practice location address for Jeni Tyson LCSW LLC is 2115 Millburn Ave Ste 105, Maplewood, NJ 07040-3724 and can be reached out via phone at 973-738-3823 and via fax at 973-378-5577.
Provider Profile Details
- NPI Number
- 1427466838
- Provider Name
- Jeni Tyson LCSW LLC
- Provider Entity Type
- Organization
- Address
- 2115 Millburn Ave Ste 105, Maplewood, NJ 07040-3724
- Phone Number
- 973-738-3823
- Fax Number
- 973-378-5577
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Jeanette M Tyson, LCSW · Owner · 973-738-3823
- Provider Enumeration Date
- July 29, 2014
- Last Update Date
- July 29, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2115 Millburn Ave Ste 105
Maplewood, NJ 07040-3724 - City
- Maplewood
- State
- New Jersey
- Zip
- 07040-3724
- Phone Number
- 973-738-3823
- Fax Number
- 973-378-5577
Provider Business Mailing Address Details
- Address
- 2115 Millburn Ave Ste 105
Maplewood, NJ 07040-3724 - City
- Maplewood
- State
- NJ
- Zip
- 07040-3724
- Phone Number
- 973-738-3823
- Fax Number
- 973-378-5577
License Information
- License Number
- 44SC05337100
- License State
- NJ
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jeni Tyson LCSW LLC?
The NPI number of Jeni Tyson LCSW LLC is 1427466838. It was assigned on July 29, 2014 and is currently active in the NPPES registry.
What is the specialty of Jeni Tyson LCSW LLC?
Jeni Tyson LCSW LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05337100.
Where does Jeni Tyson LCSW LLC practice?
The practice location is 2115 Millburn Ave Ste 105, Maplewood, NJ 07040-3724. The office can be reached at 973-738-3823 (phone) or 973-378-5577 (fax).
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 1427466838 directly on the NPPES registry website.