Active NPI
Tawanna Tyson
- Social Worker
- Cleveland, OH
National Provider Identifier
1740830439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2001477-TRNE
- Practice address
- 1744 Payne Ave
Cleveland, OH 44114-2910 - Phone
- (216) 623-6555
- NPI assigned
- Sep 16, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2001477-TRNE | OH | Primary |
Addresses
Primary practice location
1744 Payne Ave
Cleveland, OH 44114-2910
Mailing address
3558 E 142ND St Apt 1
Cleveland, OH 44120-5805
Phone (216) 905-3080
Other practice location 1
3558 E 142nd St Apt 1
Cleveland, OH 44120-5805
Phone (216) 905-3080 ext. 1
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 |
|---|---|---|---|
| S.2001477-TRNE | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breaking All Barriers LLC | Peer Specialist | Current | Accepting new patients |
| Positive Education Program | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/pepcleve/r4/
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.
-
- Case Manager/Care Coordinator
- Cleveland, OH
- NPI 1437904687
Peer Specialist
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Cleveland, OH
- NPI 1528035631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1740830439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3558 E 142ND ST APT 1",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441205805",
"telephone_number": "216-905-3080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1744 PAYNE AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441142910",
"telephone_number": "216-623-6555"
}
],
"practiceLocations": [
{
"address_1": "3558 E 142nd St Apt 1",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441205805",
"country_code": "US",
"telephone_number": "216-905-3080 x1",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYSON",
"first_name": "TAWANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2001477-TRNE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.