Tyler Drew Willis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

96001 Issued in CA

Practice address

1 Sansome St Ste 1400
San Francisco, CA 94104-4431

Phone

(858) 224-2692

NPI assigned

Aug 13, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1407467392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N GRANT ST # 7996",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031859",
            "telephone_number": "858-224-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SANSOME ST STE 1400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044431",
            "telephone_number": "858-224-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "TYLER",
        "middle_name": "DREW",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "96001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyanna Willis-Vanarsdale
• Autry Ann Willis
• Clare Genevieve Willis, PSYD
• Jonathan Willis
• Michael Willis, RN
• Zia Willis
• Alisa Willman
• Julie Willoughby
• Willow Surgery Center, a Medical Corporation
• Willow Surgery Center, LLC

• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.