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

Wayne Edwin Tyre, LCSW

Individual provider Clinical Social Worker · NPI 1801419312

Wayne Edwin Tyre, LCSW is a Clinical Social Worker in Teaneck, New Jersey. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
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

247 Intervale Rd
Teaneck, NJ 07666-6354
Phone: (201) 491-1122
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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 071661-01 (NY)

Record details

NPI number1801419312
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 19, 2020
Last updated in NPPESMay 19, 2020
Certification dateMay 19, 2020
Mailing address247 Intervale Rd, Teaneck, NJ 07666-6354

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