Individual provider Active NPI

Tyler Horn, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1538359864
Registry record updated Apr 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3476 Issued in KY
Practice address
4229 Bardstown Rd
Ste. 126
Louisville, KY 40218-3241
Phone
(502) 416-1416
Fax
(888) 977-1527
NPI assigned
Aug 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2016

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 3476 KY Primary

Addresses

Primary practice location

4229 Bardstown Rd
Ste. 126
Louisville, KY 40218-3241

Mailing address

9016 Taylorsville Rd # 131
Louisville, KY 40299-1750
Phone (502) 416-1416

Other identifiers 1

IdentifierTypeStateIssuer
30606099MedicaidKY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3476KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TH Consultancy LLC Clinical Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460851200000",
    "number": "1538359864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9016 TAYLORSVILLE RD # 131",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991750",
            "telephone_number": "502-416-1416",
            "fax_number": "888-977-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 BARDSTOWN RD",
            "address_2": "STE. 126",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183241",
            "telephone_number": "502-416-1416",
            "fax_number": "888-977-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "TYLER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2016-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30606099",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2016; 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.