Individual provider Active NPI

Tyler G Newman, LICSW

  • Clinical Social Worker
  • Cullman, AL
National Provider Identifier
1386089092
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5517C Issued in AL
Practice address
1832 Oakmont Dr SE
Cullman, AL 35055-5432
Phone
(256) 339-8041
NPI assigned
May 8, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 5517C AL Primary

Addresses

Primary practice location

1832 Oakmont Dr SE
Cullman, AL 35055-5432

Mailing address

1832 Oakmont Dr SE
Cullman, AL 35055-5432
Phone (256) 339-8041

Other practice location 1

1909 Commerce Ave
Cullman, AL 35055-6151
Phone (256) 734-4688

Other identifiers 1

IdentifierTypeStateIssuer
590000025MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240404003297 AL Practitioner - Clinical Social Worker 4183062433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
River Region Psychiatry Associates, LLCGroup PAC ID 1254491012, 118 clinicians

Practice addresses (Care Compare)

940 Gilberts Ferry Rd
Suite B
Gadsden, AL 35905-8999
Phone (334) 239-2622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
River Region Psychiatry Associates LLC CurrentSince Feb 21, 2024 Accepting new patients
North Shelby Psychiatric Services, Inc. CurrentSince Mar 5, 2024 Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

2032 Valleydale Rd
Ste D
Hoover, AL 35244
Phone (205) 621-8677

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

1940 Highway 33
Unit A
Pelham, AL 35124
Phone (205) 664-1040

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1386089092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 OAKMONT DR SE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555432",
            "telephone_number": "256-339-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 OAKMONT DR SE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555432",
            "telephone_number": "256-339-8041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 Commerce Ave",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350556151",
            "country_code": "US",
            "telephone_number": "256-734-4688",
            "fax_number": "256-255-0026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "TYLER",
        "middle_name": "G",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-08",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5517C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "590000025",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.