ANDREIAL SPECIAL TYSON
NPI 1053809921
Case Manager/Care Coordinator in Shaker Heights, OH

Q: What is Andreial Tyson's NPI number?

The NPI number for Andreial Tyson is 1053809921. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Q: What is Andreial Tyson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Andreial Tyson was last updated on August 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 26, 2018

20600 CHAGRIN BLVD STE 320, SHAKER HEIGHTS, OH 44122(216) 295-7239(216) 295-7240 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 3, 2020, Apr 26, 2018 (2 updates tracked since 2018).

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About Andreial Special Tyson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREIAL SPECIAL TYSON (NPI 1053809921) is an individual case manager/care coordinator provider in Shaker Heights, Ohio and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1053809921

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameANDREIAL SPECIAL TYSON

Location Address20600 CHAGRIN BLVD STE 320Shaker Heights, OH 44122-5334

Mailing Address10100 Elida RdDelphos, OH 45833-9056

Phone(216) 295-7239

Fax(216) 295-7240

Sole ProprietorNo

Enumeration DateApril 26, 2018

Last NPPES UpdateAugust 3, 20202 updates tracked since enumeration

NPPES CertifiedAugust 3, 2020

✔ NPI 1053809921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

20600 CHAGRIN BLVD STE 320, Shaker Heights, OH 44122

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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