Individual provider · Type 1 NPI

Tyra Lynell Coburn

Clinical Social Worker · Flint, MI

NPI number 1245586387 Active

Practice location

1040 W Bristol Rd
Flint, MI 48507-5516

Call (810) 257-3709 Map

Mailing address

420 W 5th Ave
Flint, MI 48503-2445

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1245586387

Tyra Lynell Coburn's National Provider Identifier is 1245586387, issued on Jul 26, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Flint, MI. The record was last updated on Feb 20, 2026.