Robert Tyman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW.0009924275 Issued in CO

Practice address

12567 W Cedar Dr
Lakewood, CO 80228-2009

Phone

(303) 691-6095

NPI assigned

Oct 25, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Paragon Behavioral Health Connections

  • Professional Counselor
  • Conifer, CO
  • NPI 1124872908
  NPD
• Resolute Youth Services, PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Denver, CO
  • NPI 1992351969
  NPD (past)

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1760146922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12567 W CEDAR DR",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12567 W CEDAR DR",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282009",
            "telephone_number": "303-691-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYMAN",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-25",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "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": "CO",
            "license": "LSW.0009924275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katye Tuttle
• Sarah Tuttoilmondo
• Brandon Twine, B.A.
• Jaclyn Elise Tybor, PA-C
• Charlotte Paige Tyler, MSW
• Vicky Jean Tyne
• Shannon C Tyson-Poletti, M.D.
• Glenn William Tyson, LPC
• Susan Tzankow, CACIII
• U-Med Inc.

• Clinical Social Worker in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.