MRS. JACLYN TYSON
NPI 1124692629
Social Worker - Clinical in Raleigh, NC

Active since May 18, 2021
715 W MORGAN ST, RALEIGH, NC 27603(919) 977-0087 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jaclyn Tyson NPPES

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

MRS. JACLYN TYSON (NPI 1124692629) is an individual clinical provider in Raleigh, North Carolina, licensed in North Carolina (P012163) and active in the NPI registry since May 2021. She maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1124692629
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JACLYN TYSON
Location Address715 W MORGAN STRaleigh, NC 27603-1611
Mailing Address715 W Morgan StRaleigh, NC 27603-1611 · (919) 977-0087
Sole ProprietorNo
Enumeration DateMay 18, 2021
NPPES CertifiedMay 17, 2021
NPI 1124692629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in NC · P012163 Licensed in NJ · P012163
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.
715 W MORGAN ST, Raleigh, NC 27603

Secondary Practice Location 1

Location 1504 Old Cypress DrWinston Salem, NC 27127-6099 · Phone (201) 988-3025

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Social Worker (Clinical)
715 W MORGAN ST
RALEIGH, NC 27603
Counselor (Mental Health)
715 W MORGAN ST
RALEIGH, NC 27603
Counselor (Professional)
715 W MORGAN ST
RALEIGH, NC 27603
Counselor (Mental Health)
715 W MORGAN ST
RALEIGH, NC 27603
Counselor (Professional)
715 W MORGAN ST
RALEIGH, NC 27603
Counselor (Mental Health)
715 W MORGAN ST
RALEIGH, NC 27603
Counselor (Mental Health)
715 W MORGAN ST
RALEIGH, NC 27603

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 Jaclyn Tyson's NPI number?

The NPI number for Jaclyn Tyson is 1124692629. It was assigned to this individual provider in the NPPES registry on May 18, 2021.

Where is Jaclyn Tyson located?

Jaclyn Tyson practices at 715 W Morgan St, Raleigh, NC 27603. The listed phone number is (919) 977-0087.

What is Jaclyn Tyson's specialty?

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

What insurance does Jaclyn Tyson accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Jaclyn Tyson 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 Jaclyn Tyson was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.