MRS. TYSHEENA PATRICE CONYERS


Address: 25 S Old Baltimore Pike Ste 201, Christiana, DE 19702-1540
Phone: 3022666200

MRS. TYSHEENA PATRICE CONYERS (NPI# 1720622491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720622491
Entity Type Individual
Full Name MRS. TYSHEENA PATRICE CONYERS
Credential LCSW
Practice Address 25 S Old Baltimore Pike Ste 201
Christiana
DE 19702-1540
Mailing Address 19 Windy Way
Smyrna
DE 19977-1846
Practice Telephone 3022666200
Practice Fax Number 3022666212
Mailing Telephone 4195599730
Enumeration Date 2019-11-05
Last Update Date 2019-11-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
Q1-0001723 DE Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
DE DELAWARE BOARD OF SOCIAL WORK EXAMINERS Q1-0001723 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
121 W Loockerman St, Dover, DE 199047325 3026741397 3026741602

Office Location

Street Address 25 S OLD BALTIMORE PIKE STE 201
City CHRISTIANA
State DE
Zip Code 19702-1540

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NPI Name Taxonomy Address Enumeration
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1124510854 Shena Williams Counselor 1423 Capital Trail Rd, Newark, DE 19702 2018-05-30
1437664737 Excellence Home Care LLC Home Health 122 Delaware Street, New Castle, DE 19702 2017-12-08
1710496773 Kirt Leigh Randolph Physical Therapy Assistant 229 Barrett Run Place, Newark, DE 19702 2017-09-21
1871014399 Edeline Elicin Marriage & Family Therapist 260 Chapman Road, Suite 100-b, Newark, DE 19702 2017-07-06
1831646454 Rickia Izetta Spivey-kennedy Counselor 36 Avignon Drive, Newark, DE 19702 2016-09-01
1134585748 Thomas Wolters Pharmacist 248 Chaoman Road, Newark, DE 19702 2016-01-12
1851700686 Candice Roberts Nurse Practitioner 100 Biddle Ave Ste 101, Newark, DE 19702 2014-08-06
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578160495 Annie Paul Social Worker 49 Savoy Rd, Christiana, DE 19702-8615 2020-10-04
1811123144 Michelle Renee Fowler Social Worker 618 Parsons Rd, Christiana, TN 37037-6128 2009-06-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285249797 Lucinda M Cadet Social Worker 600 N. Broad Street, Suite 5, #768, Middletown, DE 19709 2020-09-11
1073121448 Heart Matters LLC Social Worker 1018 N Barrett Ln, Newark, DE 19702-6912 2020-07-21
1689292146 Joni Newby Social Worker 115 Grand Canyon Ct, Bear, DE 19701-1784 2020-07-10
1649895368 Macie Quarles Social Worker 719 Bicentennial Blvd, Dover, DE 19904-7601 2020-06-09
1003430356 Keina Tirrell Social Worker 29611 Sawyer Loop, Millsboro, DE 19966-1310 2020-06-02
1225652589 Brooke Sharlow Social Worker 523 S Red Haven Ln, Dover, DE 19901-6407 2020-06-02
1740802784 Kelly Barto Social Worker 590 Naamans Rd, Claymont, DE 19703-2308 2020-05-13
1063031417 Sanamente: A Center for Growth LLC Social Worker 1148 Pulaski Hwy, Bear, DE 19701-1306 2020-04-15
1649808528 Jessie Therese Redden Social Worker 5235 W Woodmill Dr Ste 47, Wilmington, DE 19808-4068 2020-03-27
1780210740 Judith Johnson-shupe Social Worker 17644 Coastal Hwy Ste 1, Lewes, DE 19958-6257 2020-03-20
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Competitor

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City CHRISTIANA
Zip Code 19702

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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