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

Tyler Connifey, LCSW

Individual provider Military Health Care Provider · NPI 1104601913

Tyler Connifey, LCSW is a Clinical Social Worker in Fort Liberty, North Carolina. Qualified in 2021, 5 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Hawaii and North Carolina.

Years since qualifying
5
Licensed in
HI, NC
In the registry since
2023
Specialties on file
3
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

2817 Rock Merritt Ave Womack Army Medical Ctr
Fort Liberty, NC 28310-0001
Phone: (910) 907-8922
Fax: (910) 907-6069
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 5095 (HI)
Military Health Care Provider Taxonomy 171000000X · Licence 001084104 (HI)
Clinical Social Worker Taxonomy 1041C0700X · Licence C019004 (NC)

Record details

NPI number1104601913
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 29, 2023
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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