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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TYEAST MARIE EDMOND

Active Sole Proprietor

TYEAST MARIE EDMOND is a Clinical Social Worker healthcare provider located in CHARLOTTE, North Carolina. NPI 1790182541 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CHARLOTTE, NC

Registration Details

NPI Number
1790182541
Provider Type
Individual
Gender
Female
NPI Issued
Nov 21, 2014 (11.709292607482 yrs)
Last Updated
Dec 20, 2023
License
C010764 (NC)
Sole Proprietor
Yes

Practice Information

Address
6020 SYCAMORE GARDENS LN
CHARLOTTE, NC, 282734451
Browse NC providers · Browse ZIP 28273
Phone
9802240807
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in CHARLOTTE, NC

Name Credential NPI
JANINE ANNETTE MULLER LCSW 1609875681
MS. JENNIFER ADAMS-ANDERSON L.C.S.W. 1669461216
MS. LINDA GIBSON MCGUIRE LCSW 1780660423
MR. ZAIDE ANDRE DAVIS LCSW 1598743338
MR. GEORGE EDWARD TILLEY LCSW 1356320790
PATRICIA JONES HEARD MSW,LCSW,LMFT 1073592267
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.