Active NPI
Tyler Scott Neal, MSW
- Clinical Social Worker
- Albany, OR
National Provider Identifier
1891005039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L8239
- Practice address
- 425 2ND Ave SW
Albany, OR 97321-2482 - Phone
- (541) 990-8815
- NPI assigned
- Oct 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L8239 | OR | Primary |
Addresses
Primary practice location
425 2ND Ave SW
Albany, OR 97321-2482
Mailing address
717 Washburn St
Brownsville, OR 97327-2015
Phone (541) 990-8815
Other practice location 1
717 Washburn St
Brownsville, OR 97327-2015
Phone (541) 990-8815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500664296 | Medicaid | OR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1891005039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 WASHBURN ST",
"city": "BROWNSVILLE",
"state": "OR",
"postal_code": "973272015",
"telephone_number": "541-990-8815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 2ND AVE SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973212482",
"telephone_number": "541-990-8815"
}
],
"practiceLocations": [
{
"address_1": "717 Washburn St",
"address_purpose": "LOCATION",
"city": "Brownsville",
"state": "OR",
"postal_code": "973272015",
"country_code": "US",
"telephone_number": "541-990-8815",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEAL",
"first_name": "TYLER",
"middle_name": "SCOTT",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-20",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L8239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500664296",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.