Tyler Lee McCord, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801093647 Issued in MI

Practice address

3635 E Larson LN
Gilbert, AZ 85295-7229

Phone

(734) 486-5579

NPI assigned

Jul 21, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Joven Health, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Gilbert, AZ
  • NPI 1790393197

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1285242677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 E LARSON LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957229",
            "telephone_number": "734-486-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 E LARSON LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957229",
            "telephone_number": "734-486-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORD",
        "first_name": "TYLER",
        "middle_name": "LEE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "theraplatform.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant 3rd party platform used to collect all client information.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3635 E Larson Ln",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852957229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrea McClimon, LMSW
• Darya McClure, MAS-MFT, LAMFT
• John Edward McClure, PHARMD
• Aubriana McCollough, PT, DPT
• Caitlin McConnell
• Wendy McCord, LMFT
• Emily McCoy
• JD McCoy, N.M.D
• Sean E McCoy Sr., LMT
• Melissa McCutcheon

• Clinical Social Worker in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.