Jini F. P. Tyler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003753 Issued in GA

Practice address

997 Commerce Dr SW
Suite 3a
Conyers, GA 30094-6647

Phone

(770) 361-8822

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1124149893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 RIBBON LN",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300944190",
            "telephone_number": "770-760-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 COMMERCE DR SW",
            "address_2": "SUITE 3A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946647",
            "telephone_number": "770-361-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "JINI",
        "middle_name": "F. P.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mico B Turner, OWNER
• Rocelyn Turner
• Kiren Tushar, NP
• Valencia Tutein
• Maesha Marie Twyner, MD/MPH
• Teila Tyler, OWNER
• Stephen Charles Tyson
• U-Family Medicine and Weight Loss Center LLC
• U-Go LTD. Co
• Chidinma Onyinye Ukadike, MD

• Clinical Social Worker in Conyers, GA
• Providers in Conyers, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.