Tyler Joseph Keith, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C013544 Issued in NC

Practice address

5002 Randall Pkwy Ste 101
Wilmington, NC 28403-2845

Phone

(910) 886-1701

Fax

(910) 500-0243

NPI assigned

Jul 11, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tyler Joseph Hartley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1821584020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 S COLLEGE RD # 1009",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031632",
            "telephone_number": "910-886-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 RANDALL PKWY STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032845",
            "telephone_number": "910-886-1701",
            "fax_number": "910-500-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "TYLER",
        "middle_name": "JOSEPH",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-11",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYLER",
            "last_name": "HARTLEY",
            "middle_name": "JOSEPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julian Williams Kehaya, PA-C
• Keith & Keith, DDS, PLLC
• Angela Keith, LPCA
• Harrison Leonidas Keith III, DDS
• Jamiah Keith, LCSWA
• Kelli Renee Kelderhouse, FNP
• Heather J Kelim, D.P.T.
• Lisa Kellams
• Michael B Kelleher, M.D.
• Christina Marie Kelleigh, MPT

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.