Individual provider Active NPI

Yoni Tyberg, LCSW-C, LICSW

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1255584934
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14544 Issued in MD
Practice address
11249 Lockwood Dr
Suite C
Silver Spring, MD 20901-4563
Phone
(301) 576-5293
NPI assigned
Oct 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14544 MD Primary
Clinical Social Worker 1041C0700X LC50078597 DC

Addresses

Primary practice location

11249 Lockwood Dr
Suite C
Silver Spring, MD 20901-4563

Mailing address

11519 Lockhart PL
Silver Spring, MD 20902-3166
Phone (301) 325-5718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50078597DCMDClinical Social Worker
14544MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1255584934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11519 LOCKHART PL",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023166",
            "telephone_number": "301-325-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11249 LOCKWOOD DR",
            "address_2": "SUITE C",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014563",
            "telephone_number": "301-576-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYBERG",
        "first_name": "YONI",
        "name_prefix": "Mr.",
        "credential": "LCSW-C, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14544",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078597",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.