Tyler J Haynes, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

925 E Main St
Auburn, WA 98002-5623

Phone

(253) 833-2790

Fax

(253) 939-6018

NPI assigned

Mar 22, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Other names 1

• Mr. Tyler Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Auburn Periodontics and Implantology

  • Dental Clinic/Center
  • Auburn, WA
  • NPI 1144178450
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1083956528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 DOGWOOD ST NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984221338",
            "telephone_number": "253-833-2790",
            "fax_number": "253-939-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E MAIN ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025623",
            "telephone_number": "253-833-2790",
            "fax_number": "253-939-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "TYLER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "00217839 CPHQ",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "PS0141449 CPPS",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYLER",
            "last_name": "SMITH",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lucrecia Del Rosario Hascup
• Thomas E Hauser, LD, DPD
• Tracey E. Hawk, MPT
• Hollie Lynn Hawkins, LPN
• Joseph Michael Haynes, D.D.S
• HCG Gold Wellness Center
• Yi He, DDS
• Healing Needles Acupuncture, PLLC
• Health First Home Health Care, Inc.
• Healthpoint

• Clinical Social Worker in Auburn, WA
• Providers in Auburn, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.