Jaclyn Tyson
NPI 1124692629 · Clinical Social Worker · Raleigh, NC
Jaclyn Tyson is a Clinical Social Worker provider in Raleigh, NC (NPI 1124692629).
Provider details
- NPI number
- 1124692629
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- P012163 (NJ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 504 Old Cypress DrWinston Salem, NC 27127-6099Phone: (201) 988-3025
Registry dates
- Enumerated
- 2021-05-18
- Last updated
- 2021-05-18
- Certified
- 2021-05-17
Frequently asked questions
- What is Jaclyn Tyson's NPI number?
- Jaclyn Tyson's National Provider Identifier (NPI) is 1124692629, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaclyn Tyson's specialty?
- Jaclyn Tyson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jaclyn Tyson located?
- Jaclyn Tyson's practice location on file with NPPES is 715 W Morgan St, Raleigh, NC 27603-1611.
- What is Jaclyn Tyson's phone number?
- The practice phone number listed in the NPPES registry for Jaclyn Tyson is (919) 977-0087.
- Is Jaclyn Tyson's NPI active?
- Yes — Jaclyn Tyson's NPI (1124692629) is active in the NPPES registry as of the last update on 2021-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.