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

Individual provider Mental Health Counselor · NPI 1437899606

Tyshawn Purnell, LCSW is a Mental Health Counselor in Glassboro, New Jersey. Licensed in New Jersey. Registered with an NPI since 2022.

Licensed in
NJ
In the registry since
2022
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

200 Rowan Blvd
Glassboro, NJ 08028-2260
Phone: (856) 595-9115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 44SC06020500 (NJ)

Record details

NPI number1437899606
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 29, 2022
Last updated in NPPESMarch 29, 2022
Certification dateMarch 29, 2022

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