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KATHLEEN A TYLER LCSW
NPI 1912538638
Social Worker - Clinical in Port Jefferson, NY

Active since January 31, 2020
1401 MAIN ST, PORT JEFFERSON, NY 11777(631) 928-0202 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2020, Jan 31, 2020 (2 updates tracked since 2020).

About Kathleen A Tyler Lcsw NPPES

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

KATHLEEN A TYLER LCSW (NPI 1912538638) is an individual clinical provider in Port Jefferson, New York, licensed in New York (047068) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1912538638
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHLEEN A TYLERCredential: LCSW
Location Address1401 MAIN STPort Jefferson, NY 11777-2225
Mailing Address1401 Main StPort Jefferson, NY 11777-2225 · (631) 928-0202 · Fax (631) 928-4385
Phone(631) 928-0202
Sole ProprietorYes
Enumeration DateJanuary 31, 2020
Last NPPES UpdateFebruary 26, 20202 updates tracked since enumeration
✔ NPI 1912538638 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 NY · 047068
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.
1401 MAIN ST, Port Jefferson, NY 11777
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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.

THE WAY BACK, INC.
Community/Behavioral Health
1401 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 928-0202
MS. MONICA MASSARO LCSW
Social Worker (Clinical)
1401 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 928-0202
RYAN J MCGURK LMHC
Counselor (Mental Health)
1401 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 928-0202

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 Kathleen Tyler's NPI number?

The NPI number for Kathleen Tyler is 1912538638. It was assigned to this individual provider in the NPPES registry on January 31, 2020.

Where is Kathleen Tyler located?

Kathleen Tyler practices at 1401 Main St, Port Jefferson, NY 11777. The listed phone number is (631) 928-0202.

What is Kathleen Tyler'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 Kathleen Tyler was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.