TYEAST MARIE EDMOND
NPI 1790182541
Social Worker - Clinical in Charlotte, NC

Active since November 21, 2014
6020 SYCAMORE GARDENS LN, CHARLOTTE, NC 28273(980) 224-0807 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyeast Marie Edmond NPPES

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

TYEAST MARIE EDMOND (NPI 1790182541) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C010764) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1790182541
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTYEAST MARIE EDMOND
Location Address6020 SYCAMORE GARDENS LNCharlotte, NC 28273-4451
Mailing Address7735 Holliswood Ct Apt 622Charlotte, NC 28217-3125 · (908) 487-5267
Sole ProprietorYes
Enumeration DateNovember 21, 2014
Last NPPES UpdateDecember 20, 2023
NPPES CertifiedDecember 20, 2023
NPI 1790182541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · C010764
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.
6020 SYCAMORE GARDENS LN, Charlotte, NC 28273

Accepted Insurance

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 Tyeast Edmond's NPI number?

The NPI number for Tyeast Edmond is 1790182541. It was assigned to this individual provider in the NPPES registry on November 21, 2014.

Where is Tyeast Edmond located?

Tyeast Edmond practices at 6020 Sycamore Gardens Ln, Charlotte, NC 28273. The listed phone number is (980) 224-0807.

What is Tyeast Edmond's specialty?

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

What insurance does Tyeast Edmond accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Tyeast Edmond 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 Tyeast Edmond was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.