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

Tyeast Marie Edmond

Individual provider Clinical Social Worker · NPI 1790182541

Tyeast Marie Edmond is a Clinical Social Worker in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2014

Practice location Address checks out

6020 Sycamore Gardens Ln
Charlotte, NC 28273-4451
Phone: (980) 224-0807
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C010764 (NC)

Record details

NPI number1790182541
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 21, 2014
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023

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