IndividualActive
Tyeast Edmond
NPI 1790182541 · Clinical Social Worker · Charlotte, NC
Tyeast Edmond is a Clinical Social Worker provider in Charlotte, NC (NPI 1790182541).
Provider details
- NPI number
- 1790182541
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- C010764 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
6020 Sycamore Gardens Ln
Charlotte, NC 28273-4451
Phone: (980) 224-0807
Approximate (ZIP-level) locationGet directions
Mailing address
7735 Holliswood Ct Apt 622
Charlotte, NC 28217-3125
Registry dates
- Enumerated
- 2014-11-21
- Last updated
- 2023-12-20
- Certified
- 2023-12-20
Frequently asked questions
- What is Tyeast Edmond's NPI number?
- Tyeast Edmond's National Provider Identifier (NPI) is 1790182541, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyeast Edmond's specialty?
- Tyeast Edmond is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tyeast Edmond located?
- Tyeast Edmond's practice location on file with NPPES is 6020 Sycamore Gardens Ln, Charlotte, NC 28273-4451.
- What is Tyeast Edmond's phone number?
- The practice phone number listed in the NPPES registry for Tyeast Edmond is (980) 224-0807.
- Is Tyeast Edmond's NPI active?
- Yes — Tyeast Edmond's NPI (1790182541) is active in the NPPES registry as of the last update on 2023-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.