ZACHARY KYLE MSW, LCSW
NPI 1104294180
Social Worker - Clinical in South Bend, IN

Active since September 09, 2015PECOS EnrolledAccepts Medicare Assignment
311 S EDDY ST, SOUTH BEND, IN 46617(574) 213-2456 Get Directions Write a Review

NPPES record last updated: May 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Zachary Kyle Msw, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZACHARY KYLE MSW, LCSW (NPI 1104294180) is an individual clinical provider in South Bend, Indiana, licensed in Indiana (34008261A) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1104294180
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameZACHARY KYLECredential: MSW, LCSW
Location Address311 S EDDY STSouth Bend, IN 46617-3201
Mailing Address311 S Eddy StSouth Bend, IN 46617-3201 · (574) 213-2456
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 9, 2015
Last NPPES UpdateMay 10, 2026
NPPES CertifiedMay 10, 2026
✔ NPI 1104294180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 34008261A
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
311 S EDDY ST, South Bend, IN 46617

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Zachary Kyle Msw, Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789919176
PECOS Enrollment IDI20230726000192
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Zachary Kyle reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
220 S MAIN ST
Kendallville, IN 46755
  • Reassigned Medicare billing, Indiana enrollment
  • 29 clinicians in this Medicare group
Adult Medicine
8398 MISSISSIPPI ST FL 2
Merrillville, IN 46410
  • Reassigned Medicare billing, Indiana and Ohio enrollments
  • 233 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
911 E CENTENNIAL DR
Pittsburg, KS 66762
  • Reassigned Medicare billing, Kansas enrollment
  • 16 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
911 E CENTENNIAL DR
Pittsburg, KS 66762
  • Reassigned Medicare billing, Kansas enrollment
  • 13 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46617 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
311 S EDDY ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
311 S EDDY ST
SOUTH BEND, IN 46617
Counselor
311 S EDDY ST
SOUTH BEND, IN 46617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zachary Kyle's NPI number?

The NPI number for Zachary Kyle is 1104294180. It was assigned to this individual provider in the NPPES registry on September 9, 2015.

Where is Zachary Kyle located?

Zachary Kyle practices at 311 S Eddy St, South Bend, IN 46617. The listed phone number is (574) 213-2456.

What is Zachary Kyle's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Zachary Kyle enrolled in Medicare?

Yes. Zachary Kyle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Zachary Kyle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Kyle reassigns Medicare benefits to 4 organizations: Northeastern Center Inc (Kendallville, IN), Extended Care Specialists, Inc (Merrillville, IN), Crawford County Mental Health Center (Pittsburg, KS) and County Of Crawford (Pittsburg, KS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Zachary Kyle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zachary Kyle accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas, Inc. and CareSource list Zachary Kyle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Zachary Kyle was last updated on May 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.