MEDICARE: TYNIKIA S KILLINGS LMSW

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	104100000X	Social Worker	7053G	AL

General Provider Information

NPI Number	:	1952284077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYNIKIA S KILLINGS LMSW

Provider Business Mailing Address
First Line	:	3339 SEMINOLE DR
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-2055
Country	:	US
Telephone Number	:	706-604-8304
Fax Number	:

Provider Business Practice Location Address
First Line	:	3339 SEMINOLE DR
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-2055
Country	:	US
Telephone Number	:	706-604-8304
Fax Number	:

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

Provider Enumeration Date	:	07/28/2025
Last Update Date	:	07/28/2025

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Directions to “ TYNIKIA S KILLINGS LMSW” Practice Location

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