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TYLER CONNIFEY LCSW
NPI 1104601913
Social Worker - Clinical in Fayetteville, NC

Active since August 29, 2023PECOS EnrolledAccepts Medicare Assignment
3011 TOWN CENTER DR STE 130, FAYETTEVILLE, NC 28306(910) 212-6101 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2026, Nov 12, 2024, Jul 12, 2024 and 3 more (6 updates tracked since 2023).

About Tyler Connifey Lcsw NPPES

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

TYLER CONNIFEY LCSW (NPI 1104601913) is an individual clinical provider in Fayetteville, North Carolina, licensed in Hawaii (5095) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104601913
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTYLER CONNIFEYCredential: LCSW
Location Address3011 TOWN CENTER DR STE 130Fayetteville, NC 28306-0049
Mailing Address2817 Rock Merritt Ave Womack Army Medical CenterFort Liberty, NC 28310-0001 · (910) 907-8922 · Fax (910) 907-6069
Phone(910) 212-6101
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 29, 2023
Last NPPES UpdateAugust 14, 20266 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1104601913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in HI · 5095✔ Licensed in NC · C019004
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 001084104 (HI)
3011 TOWN CENTER DR STE 130, Fayetteville, NC 28306
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyler Connifey Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153803473
PECOS Enrollment IDI20260305002718
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tyler Connifey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brightside Medical Of New Jersey, P.C.
2,408 mi
Psychiatry
5214F DIAMOND HEIGHTS BLVD # 345
San Francisco, CA 94131
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Brightside Medical Of New Jersey PC
  • 112 clinicians in this Medicare group
NPI 1811524754 (415) 360-3348

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28306 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

MACNIFICENT COUNSELING AND THERAPY SERVICES PLLC
Social Worker (Clinical)
3011 TOWN CENTER DR STE 130
FAYETTEVILLE, NC 28306
Cumberland County (919) 937-5248
TRANSFORMINGLIVES COUNSELING SERVICES
Counselor (Mental Health)
3011 TOWN CENTER DR STE 130
FAYETTEVILLE, NC 28306
Cumberland County (910) 339-0161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Connifey's NPI number?

The NPI number for Tyler Connifey is 1104601913. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Where is Tyler Connifey located?

Tyler Connifey practices at 3011 Town Center Dr Ste 130, Fayetteville, NC 28306. The listed phone number is (910) 212-6101.

What is Tyler Connifey's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tyler Connifey enrolled in Medicare?

Yes. Tyler Connifey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tyler Connifey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Connifey reassigns Medicare benefits to Brightside Medical Of New Jersey, P.C. (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyler Connifey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Connifey accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Tyler Connifey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Connifey was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.