MEDICARE: TYNESE E VINSON LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	18000	SC
2	1041C0700X	Clinical Social Worker	252609	KY

General Provider Information

NPI Number	:	1598294662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYNESE E VINSON LCSW

Provider Business Mailing Address
First Line	:	10101 LINN STATION RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-3848
Country	:	US
Telephone Number	:	502-589-8600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 MAIN ST STE 140
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-5801
Country	:	US
Telephone Number	:	803-403-0294
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2017
Last Update Date	:	08/06/2025

Similar Medicare Providers

1952595951 — MELISSA M MULLINS LPC
Practice Location Address:

1501 MAIN ST STE 140
COLUMBIA, SC
29201-5801

Practice Phone: 704-208-8013
Practice Fax:

1952046435 — TINA CHAPMAN PMHNP-BC
Practice Location Address:

1501 MAIN ST
COLUMBIA, SC
29201-5801

Practice Phone: 415-360-3348
Practice Fax:

1821851908 — SUNSHINE ADVANTAGE OF SC LLC
Practice Location Address:

1501 MAIN ST STE 501
COLUMBIA, SC
29201-5801

Practice Phone: 347-971-0039
Practice Fax:

1851146898 — ENNOBLE HOSPICE SC LLC
Practice Location Address:

1501 MAIN ST
COLUMBIA, SC
29201-5801

Practice Phone: 803-471-8635
Practice Fax:

1528872744 — BRIGHTSIDE HEALTH, INC.
Practice Location Address:

1501 MAIN STREET , SUITE 501, OFFICE #509
COLUMBIA, SC
29201-5801

Practice Phone: 415-360-3348
Practice Fax:

1679372403 — GREGG EUGENE GARVIN
Practice Location Address:

1501 MAIN ST STE 501
COLUMBIA, SC
29201-5801

Practice Phone: 803-683-3911
Practice Fax:

Directions to “ TYNESE E VINSON LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.