JOHN TYLER GIFFORD LCSW
NPI 1831654961
Social Worker - Clinical in Fayetteville, NC

Active since February 03, 2019PECOS EnrolledAccepts Medicare Assignment
806 HAY ST, FAYETTEVILLE, NC 28305(910) 860-7008(910) 221-9006 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 23, 2023, Feb 3, 2019 (2 updates tracked since 2019).

About John Tyler Gifford Lcsw NPPES

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

JOHN TYLER GIFFORD LCSW (NPI 1831654961) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (P012365) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hope Mills, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1831654961
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOHN TYLER GIFFORDCredential: LCSW
Location Address806 HAY STFayetteville, NC 28305-5312
Mailing Address806 Hay StFayetteville, NC 28305-5312 · (910) 860-7008 · Fax (910) 221-9006
Fax(910) 221-9006
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 3, 2019
Last NPPES UpdateJanuary 23, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
NPI 1831654961 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 · P012365
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.

806 HAY ST, Fayetteville, NC 28305

Secondary Practice Location 1

Location 13507 Hill StHope Mills, NC 28348-1870 · Phone (910) 339-0901

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Tyler Gifford 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 ID8224453808
PECOS Enrollment IDI20200729002684
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28305 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 20

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

Social Worker (Clinical)
806 HAY ST
FAYETTEVILLE, NC 28305
Psychologist (Clinical)
806 HAY ST
FAYETTEVILLE, NC 28305
Counselor (Professional)
806 HAY ST
FAYETTEVILLE, NC 28305
Psychologist (Clinical)
806 HAY ST, HAYMOUNT INSTITUE FOR PSYCHOLOGICAL ASSESSMENT
FAYETTEVILLE, NC 28305
Psychologist
806 HAY ST
FAYETTEVILLE, NC 28305
Psychologist (Clinical)
806 HAY ST
FAYETTEVILLE, NC 28305
Psychologist (Clinical)
806 HAY ST
FAYETTEVILLE, NC 28305
Psychologist
806 HAY ST
FAYETTEVILLE, NC 28305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831654961, enumerated as an "individual" on February 03, 2019.

The provider is located at 806 HAY ST FAYETTEVILLE, NC 28305 and the phone number is (910) 860-7008.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.