Active NPI
Zachary Kyle, MSW, LCSW
- Clinical Social Worker
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34008261A
- Practice address
- 311 S Eddy St
South Bend, IN 46617-3201 - Phone
- (574) 213-2456
- NPI assigned
- Sep 9, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34008261A | IN | Primary |
Addresses
Primary practice location
311 S Eddy St
South Bend, IN 46617-3201
Mailing address
311 S Eddy St
South Bend, IN 46617-3201
Phone (574) 213-2456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
911 E Centennial Dr
Crawford County Mental Health
Pittsburg, KS 66762-6601
Phone (620) 231-5130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Center, Inc | Current | Accepting new patients | |
| Extended Care Specialists, Inc | Counselor | Current | Accepting new patients |
| Crawford County Mental Health Center | Current | Accepting new patients | |
| Everlasting Hills Counseling, LLC | Clinical | Current | Accepting new patients |
| Northeastern Center Inc | Current | Accepting new patients | |
| United Community Services, Inc. | Past | Accepting new patients | |
| Extended Care Specialists, Inc | Clinical | Past | Accepting new patients |
Locations
833 E Main St
Albion, IN 46701
Phone (260) 636-6975
1800 Wesley Rd
Auburn, IN 46706
Phone (260) 925-2453
3512 Stellhorn Rd
Fort Wayne, IN 46815
220 S Main St
Kendallville, IN 46755
Phone (219) 347-4400
8398 Mississippi St
Fl 2
Merrillville, IN 46410
311 S Eddy St
South Bend, IN 46617
Phone (574) 213-2456
911 E Centennial Dr
Pittsburg, KS 66762
Phone (620) 338-7282
3958 Brown Park Dr
Ste D
Hilliard, OH 43026
Organizations & group practices 8
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pittsburg, KS
- NPI 1942064423
-
- Adult Medicine Physician
- Merrillville, IN
- NPI 1134146079
Counselor, OH
-
- Community/Behavioral Health Agency
- Kendallville, IN
- NPI 1720140908
-
- Clinical Social Worker
- South Bend, IN
- NPI 1548198724
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pittsburg, KS
- NPI 1215900899
-
- Psychiatric Hospital
- Auburn, IN
- NPI 1689781346
-
- Point of Service
- West Des Moines, IA
- NPI 1609998137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778371200000",
"number": "1104294180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 S EDDY ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466173201",
"telephone_number": "574-213-2456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 S EDDY ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466173201",
"telephone_number": "574-213-2456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYLE",
"first_name": "ZACHARY",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-09",
"last_updated": "2026-05-10",
"certification_date": "2026-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34008261A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.