JUAN TYLER


Address: 33 Darlington Ave, Wilmington, NC 28403-1343
Phone: 9107828752

JUAN TYLER (NPI# 1891353934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891353934
Entity Type Individual
Full Name JUAN TYLER
Other Name JOHN JAVIER TYLER
Credential MSW, LCSW-A, LCAS-A
Practice Address 33 Darlington Ave
Wilmington
NC 28403-1343
Practice Telephone 9107828752
Mailing Telephone 9107828752
Enumeration Date 2019-06-04
Last Update Date 2020-03-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
P013089 NC Behavioral Health & Social Service Providers

Office Location

Street Address 33 DARLINGTON AVE
City WILMINGTON
State NC
Zip Code 28403-1343

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083788954 Therese M. Hueholt Psychiatry & Neurology 33 Darlington Ave, Wilmington, NC 28403-1343 2006-11-20
1386171767 Reflections of Hope, L.l.p. Clinic/Center 33 Darlington Ave, Wilmington, NC 28403-1343 2017-05-17
1538449434 Easter Seals Ucp North Carolina & Virginia, Inc Counselor 33 Darlington Ave, Wilmington, NC 28403-1343 2011-08-23
1619110582 Easter Seals Ucp North Carolina Community/Behavioral Health 33 Darlington Ave, Wilmington, NC 28403-1343 2009-04-08
1942456645 Marlene Celeste Wright Social Worker 33 Darlington Ave, Wilmington, NC 28403-1343 2008-08-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902413875 Ymca of Southeastern Nc Health Educator 2710 Market Street, Wilmington, NC 28403 2020-09-25
1659917334 Noa Alper Occupational Therapist 5412 Old Garden Road, Wilmington, NC 28403 2019-11-18
1992346340 Nancy Rosita Carson Technician 5608 Locke Str. Apt 108, Wilmington, NC 28403 2019-10-07
1912484585 Jennifer Nicole Perry Behavior Technician 349 Campus Cv, Wilmington, NC 28403 2018-07-25
1386159929 Monumental Foundations LLC Clinic/Center Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 2017-12-05
1114445731 Jacqulyn Craichy Speech-Language Pathologist 75 Cavalier Drive, Wilmington, NC 28403 2017-09-04
1730638545 Ashley Mcneil Durable Medical Equipment & Medical Supplies 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 2016-09-22
1306204276 Valerie Pringle Jones Physical Therapist 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 2016-02-05
1689039992 Lifeline Treatment Center Clinic/Center 5710 Oleander Dr Ste 100, Wilmington, NC 28403 2015-12-31
1750758264 Melissa Beatson Speech-Language Pathologist 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 2015-09-01
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821602608 Bhs Counseling, Pllc Social Worker 446 Motts Creek Rd, Wilmington, NC 28412-7854 2020-08-31
1659985406 Kelsey Metz Social Worker 2023 S 17th St Unit 1a, Wilmington, NC 28401-6600 2020-08-31
1265044424 Katelyn Elizabeth Currie Social Worker 3401 Wilshire Blvd Apt 103, Wilmington, NC 28403-4261 2020-08-19
1114539467 Personal Insight Therapy, LLC Social Worker 226 Lowell St Ste B7, Wilmington, MA 01887-3073 2020-08-18
1336751726 Ikia Williams Social Worker 4415 Junction Park Dr, Wilmington, NC 28412-2263 2020-08-18
1356961627 Jacqueline Sabella Social Worker 1608 Queen St, Wilmington, NC 28401-5527 2020-04-16
1649808528 Jessie Therese Redden Social Worker 5235 W Woodmill Dr Ste 47, Wilmington, DE 19808-4068 2020-03-27
1659907830 Danielle M Lopez Social Worker 2700 Silverside Rd Ste 4, Wilmington, DE 19810-3724 2020-03-19
1942836267 Christiana Care Health Initiatives Social Worker 4000 Nexus Dr Rm Nwg -250, Wilmington, DE 19803-3000 2020-03-18
1952936049 Taylor Danielle Quick-smith Social Worker 1002 Talcon Dr, Wilmington, DE 19804-1200 2020-03-09
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Competitor

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City WILMINGTON
Zip Code 28403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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