Active NPI
Samantha Tyer, LCSW-A LCAS-A
- Clinical Social Worker
- Morehead City, NC
National Provider Identifier
1669289120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P021493
- Practice address
- 3715 Guardian Ave
Morehead City, NC 28557-4323 - Phone
- (828) 386-7444
- NPI assigned
- Dec 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-30658 | NC | |
| Clinical Social Worker | 1041C0700X | P021493 | NC | Primary |
Addresses
Primary practice location
3715 Guardian Ave
Morehead City, NC 28557-4323
Mailing address
3715 Guardian Ave
Morehead City, NC 28557-4323
Phone (252) 222-3144
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P021493 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1669289120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3715 GUARDIAN AVE",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285574323",
"telephone_number": "252-222-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3715 GUARDIAN AVE",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285574323",
"telephone_number": "828-386-7444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYER",
"first_name": "SAMANTHA",
"credential": "LCSW-A LCAS-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-17",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-30658",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P021493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morehead City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.