Individual provider · Type 1 NPI

Letisha Tyrell

Clinical Social Worker · Bowie, MD

NPI number 1235788076 Active

Practice location

15480 Annapolis Rd Unit 229
Bowie, MD 20715-1852

Mailing address

2912 Gibbons Ave
Baltimore, MD 21214-2200

Other practice locations

  • 6802 Mcclean Blvd, Baltimore, MD 21234-7260 · (410) 444-3800

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X26615 (MD)

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 1235788076

Letisha Tyrell's National Provider Identifier is 1235788076, issued on Sep 4, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bowie, MD. The record was last updated on Dec 17, 2025.