Provider Demographics
NPI:1699876128
Name:TYUS, SARMITE D (LCSW)
Entity type:Individual
Prefix:MS
First Name:SARMITE
Middle Name:D
Last Name:TYUS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SARMITE
Other - Middle Name:D
Other - Last Name:TYUS-BATES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:VA MEDICAL CENTER
Mailing Address - Street 2:1601 KIRKWOOD HIGHWAY
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805
Mailing Address - Country:US
Mailing Address - Phone:302-994-2511
Mailing Address - Fax:302-633-5428
Practice Address - Street 1:VA MEDICAL CENTER
Practice Address - Street 2:1601 KIRKWOOD HIGHWAY
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805
Practice Address - Country:US
Practice Address - Phone:302-994-2511
Practice Address - Fax:302-633-5428
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC 052998001041C0700X
PACW 0148571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical