Individual provider Active NPI

Kathryn Tylka, LSW

  • Clinical Social Worker
  • Wyomissing, PA
National Provider Identifier
1073390241
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW138994 Issued in PA
Practice address
833 N Park Rd Ste 101
Wyomissing, PA 19610-1341
Phone
(610) 396-5094
NPI assigned
Sep 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW138994 PA Primary

Addresses

Primary practice location

833 N Park Rd Ste 101
Wyomissing, PA 19610-1341

Mailing address

833 N Park Rd Ste 101
Wyomissing, PA 19610-1341
Phone (610) 396-5094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW138994PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Instinctive Strength Therapy LLC Current Accepting new patients
Empowerment Behavioral Health LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1073390241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 N PARK RD STE 101",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101341",
            "telephone_number": "610-396-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 N PARK RD STE 101",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101341",
            "telephone_number": "610-396-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLKA",
        "first_name": "KATHRYN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW138994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.