Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEENAN P TYNER, LCSW
ActiveMR. KEENAN P TYNER, LCSW is a Clinical Social Worker healthcare provider located in UKIAH, California. NPI 1023347911 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · UKIAH, CA
Registration Details
- NPI Number
- 1023347911
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 23, 2009 (16.651368749522 yrs)
- Last Updated
- Mar 30, 2023
- Licenses
-
69833 (CA)69833 (CA)LCSW101659 (CA)
Practice Information
- Address
-
2240 OLD RIVER RDUKIAH, CA, 954826103Browse CA providers · Browse ZIP 95482
- Phone
- 7074675181
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Case Manager
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in UKIAH, CA
| Name | Credential | NPI |
|---|---|---|
| TERRANCE HAROLD KENNEDY | LCSW | 1699876920 |
| MS. JENNIFER BENNETT-JORDAN | MSW | 1609961093 |
| MICHAEL MABANGLO | LCSW | 1558431528 |
| LORELEI J HAMMOND | LCSW | 1053477356 |
| EDWARD FOX | LCSW | 1861549065 |
| MR. KEVIN LOUIS GUTFELD | L.C.S.W. | 1912058090 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.