Individual provider · Type 1 NPI

Tyler Connifey, LCSW

Clinical Social Worker · Fayetteville, NC

NPI number 1104601913 Active

Practice location

3011 Town Center Dr Ste 130
Fayetteville, NC 28306-0049

Mailing address

2817 Rock Merritt Ave Womack Army Medical Center
Fort Liberty, NC 28310-0001

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X5095 (HI)
Clinical Social Worker 1041C0700XC019004 (NC)
Military Health Care Provider 171000000X001084104 (HI)

Clinical Social Worker: 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 interpers…

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About NPI 1104601913

Tyler Connifey, LCSW's National Provider Identifier is 1104601913, issued on Aug 29, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Aug 14, 2026.