TYLER DAWN MOULTON LCSW
NPI 1710739750
Social Worker - Clinical in Gooding, ID

Active since April 03, 2024
605 11TH AVE E, GOODING, ID 83330(208) 934-8461 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tyler Dawn Moulton Lcsw NPPES

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

TYLER DAWN MOULTON LCSW (NPI 1710739750) is an individual clinical provider in Gooding, Idaho, licensed in Idaho (8911494) and active in the NPI registry since April 2024. She maintains a secondary practice location in Gooding.

NPPES Registry Identity

NPI1710739750
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTYLER DAWN MOULTONCredential: LCSW
Location Address605 11TH AVE EGooding, ID 83330-5368
Mailing Address605 11th Ave EGooding, ID 83330-5368 · (208) 934-8461
Sole ProprietorYes
Enumeration DateApril 3, 2024
Last NPPES UpdateJune 19, 2026
NPPES CertifiedJune 19, 2026
NPI 1710739750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in ID · 8911494
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.
Also ListedSocial WorkerTaxonomy 104100000X · License LMSW-44450 (ID)
605 11TH AVE E, Gooding, ID 83330

Secondary Practice Location 1

Location 11030 Utah StGooding, ID 83330-1766 · Phone (208) 420-3439

Other Providers at the Same Location NPPES 17

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

Counselor (Addiction (Substance Use Disorder))
605 11TH AVE E
GOODING, ID 83330
Social Worker (Clinical)
605 11TH AVE E
GOODING, ID 83330
Counselor (Addiction (Substance Use Disorder))
605 11TH AVE E
GOODING, ID 83330
Substance Abuse Rehabilitation Facility
605 11TH AVE E
GOODING, ID 83330
Counselor (Addiction (Substance Use Disorder))
605 11TH AVE E
GOODING, ID 83330
Counselor (Addiction (Substance Use Disorder))
605 11TH AVE E
GOODING, ID 83330
Counselor (Addiction (Substance Use Disorder))
605 11TH AVE E
GOODING, ID 83330
Counselor (Addiction (Substance Use Disorder))
605 11TH AVE E
GOODING, ID 83330

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 Tyler Moulton's NPI number?

The NPI number for Tyler Moulton is 1710739750. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Tyler Moulton located?

Tyler Moulton practices at 605 11th Ave E, Gooding, ID 83330. The listed phone number is (208) 934-8461.

What is Tyler Moulton's specialty?

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

When was this NPI record last updated?

The NPPES record for Tyler Moulton was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.