Active NPI
Steven Tyndall, MSW, LCSW, LCAS
- Clinical Social Worker
- Washington, NC
National Provider Identifier
1811923691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C005334
- Practice address
- 105 E 3Rd St
Washington, NC 27889-4923 - Phone
- (252) 944-6502
- NPI assigned
- Jun 24, 2006
- Last updated
- Dec 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1016 | NC | |
| Clinical Social Worker | 1041C0700X | C005334 | NC | Primary |
| Specialist | 174400000X | 25502 | NC |
Addresses
Primary practice location
105 E 3Rd St
Washington, NC 27889-4923
Mailing address
107 York St
Washington, NC 27889-3468
Phone (252) 944-6502
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1016 | NC | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthplus Therapeutic Services Inc | Clinical | Past | Accepting new patients |
| Pamlico Counseling PLLC | Clinical | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229472000000",
"number": "1811923691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 YORK ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893468",
"telephone_number": "252-944-6502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 E 3RD ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278894923",
"telephone_number": "252-944-6502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYNDALL",
"first_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "MSW, LCSW, LCAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2008-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1016",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C005334",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "25502",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.