Individual provider Active NPI

Lynn Helen Tyree, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1841463247
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003810 Issued in GA
Practice address
1050 Crown Pointe Pkwy Ste 295
Atlanta, GA 30338-7701
Phone
(866) 325-5434
Fax
(866) 325-5340
NPI assigned
Apr 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW003810 GA Primary

Addresses

Primary practice location

1050 Crown Pointe Pkwy Ste 295
Atlanta, GA 30338-7701

Mailing address

618 Savannah Way
Woodstock, GA 30189-3453
Phone (770) 270-9898

Other identifiers 1

IdentifierTypeStateIssuer
CSW003810OtherGAGA STATE LICENSE

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

LicenseStateTypeSpecialty
CSW003810GAMDClinical Social Worker
003810GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psych Solutions Corp Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1841463247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 SAVANNAH WAY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301893453",
            "telephone_number": "770-270-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CROWN POINTE PKWY STE 295",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303387701",
            "telephone_number": "866-325-5434",
            "fax_number": "866-325-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYREE",
        "first_name": "LYNN",
        "middle_name": "HELEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA STATE LICENSE",
            "identifier": "CSW003810",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.

Verify at the official NPI Registry.