TYRAN DEWALT
NPI 1720366933
Social Worker - Clinical in Louisville, KY

Active since July 22, 2011
10510 LA GRANGE RD, LOUISVILLE, KY 40223(502) 589-8600(502) 589-8771 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyran Dewalt NPPES

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

TYRAN DEWALT (NPI 1720366933) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (260261) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1720366933
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTYRAN DEWALT
Location Address10510 LA GRANGE RDLouisville, KY 40223-1277
Mailing Address101 W Muhammad Ali BlvdLouisville, KY 40202-1423
Fax(502) 589-8771
Sole ProprietorNo
Enumeration DateJuly 22, 2011
Last NPPES UpdateDecember 1, 2025
NPPES CertifiedDecember 1, 2025
NPI 1720366933 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 KY · 260261
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.
10510 LA GRANGE RD, Louisville, KY 40223

Other Providers at the Same Location NPPES 19

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

Registered Nurse (Psychiatric/Mental Health, Adult)
10510 LA GRANGE RD
LOUISVILLE, KY 40223
Counselor
10510 LA GRANGE RD, ICF/MR
LOUISVILLE, KY 40223
Counselor
10510 LA GRANGE RD
LOUISVILLE, KY 40223
Rehabilitation Counselor
10510 LA GRANGE RD
LOUISVILLE, KY 40223
Nurse Practitioner (Psychiatric/Mental Health)
10510 LA GRANGE RD
LOUISVILLE, KY 40223
Pharmacy (Institutional Pharmacy)
10510 LA GRANGE RD
LOUISVILLE, KY 40223
Social Worker
10510 LA GRANGE RD
LOUISVILLE, KY 40223
Rehabilitation Counselor
10510 LA GRANGE RD
LOUISVILLE, KY 40223

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 Tyran Dewalt's NPI number?

The NPI number for Tyran Dewalt is 1720366933. It was assigned to this individual provider in the NPPES registry on July 22, 2011.

Where is Tyran Dewalt located?

Tyran Dewalt practices at 10510 La Grange Rd, Louisville, KY 40223. The listed phone number is (502) 589-8600.

What is Tyran Dewalt'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 Tyran Dewalt was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.