Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles Germaine Tyson, LCSW, BCD

Individual provider Clinical Social Worker · NPI 1245879774

Charles Germaine Tyson, LCSW, BCD is a Clinical Social Worker in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

533 E Girard Ave # 604
Philadelphia, PA 19125-3311
Phone: (445) 455-6045
Fax: (267) 762-4374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW020993 (PA)

Record details

NPI number1245879774
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , BCD
Sole proprietorYes
NPI enumeratedJanuary 1, 2020
Last updated in NPPESJuly 8, 2023
Certification dateJuly 8, 2023

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