Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Iasia Tyre, LCSWC

Individual provider Clinical Social Worker · NPI 1699157438

Miss. Iasia Tyre, LCSWC is a Clinical Social Worker in Frederick, Maryland. Qualified in 2001, 25 years ago. Practices with Talkspace Provider Network PA, a 256-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
25
Licensed in
MD
In the registry since
2015
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Practice location Address checks out

2625 Island Grove Blvd
Frederick, MD 21701-3313
Phone: (718) 775-1992
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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 17900 (MD)

Record details

NPI number1699157438
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWC
Sole proprietorYes
NPI enumeratedJune 28, 2015
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Talkspace Provider Network Pa — 256 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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