Tyler Beach, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TYLER BEACH, LCSW, PLLC

Practice address

2740 Spencer Street
Durham, NC 27705

Phone

(919) 428-8901

Fax

(919) 928-5163

NPI assigned

Nov 20, 2019

Organization subpart

No

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

Authorized official

Name

Mr. James Tyler Beach, MSW LCSW

Title

President

Phone

(919) 428-8901

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1295371755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 SPENCER STREET",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27705",
            "telephone_number": "919-428-8901",
            "fax_number": "919-928-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 SPENCER STREET",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27705",
            "telephone_number": "919-428-8901",
            "fax_number": "919-928-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER BEACH, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-428-8901",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack I Twersky, M.D.
• Meghan Thompson Twisdale, ACNP-BC
• Lauren Ashley Twitty
• John Twomey-Kozak, MD
• David Lee Twomley, D.C.
• Richard Tyler-Walker, PHD
• Kimberly Tyler, BCBA
• Laura Tymas, LPT
• Felicia Tyson-Johnson
• Crystal Cenell Tyson, MD

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.