Individual provider · Type 1 NPI

Jaclyn Tyson

Clinical Social Worker · Raleigh, NC

NPI number 1124692629 Active

Practice location

715 W Morgan St
Raleigh, NC 27603-1611

Other practice locations

  • 504 Old Cypress Dr, Winston Salem, NC 27127-6099 · (201) 988-3025

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XP012163 (NJ)
Clinical Social Worker Primary 1041C0700XP012163 (NC)

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 1124692629

Jaclyn Tyson's National Provider Identifier is 1124692629, issued on May 18, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on May 18, 2021.