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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TYRAN DEWALT

Active

TYRAN DEWALT is a Clinical Social Worker healthcare provider located in LOUISVILLE, Kentucky. NPI 1720366933 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · LOUISVILLE, KY

Registration Details

NPI Number
1720366933
Provider Type
Individual
Gender
Male
NPI Issued
Jul 22, 2011 (15.060391946103 yrs)
Last Updated
Dec 1, 2025
License
260261 (KY)

Practice Information

Address
10510 LA GRANGE RD
LOUISVILLE, KY, 402231277
Browse KY providers · Browse ZIP 40223
Phone
5025898600
Fax
5025898771
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in LOUISVILLE, KY

Name Credential NPI
SHARRON ALEXANDERSMITH LCSW 1730185562
DIANE MURPHY MSW 1336145028
JODI KLEIN L.C.S.W. 1790782803
MR. HENRY FERRIS AUSTIN LCSW 1881694610
REBECCA WILLINGHAM BACKERT LCSW 1285623140
MRS. TAMI SUE SALLADE LCSW 1922089309
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.