Steven Tyler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34001489A Issued in IN

Practice address

602 Ransdell Rd
Lebanon, IN 46052-2349

Phone

(765) 482-7100

Fax

(317) 674-0059

NPI assigned

Jul 19, 2005

Last updated

May 11, 2011By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 10, 2016 through Nov 10, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1689673824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9615 E 148TH ST",
            "address_2": "SUITE 1",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604360",
            "telephone_number": "317-587-0500",
            "fax_number": "317-674-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 RANSDELL RD",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460522349",
            "telephone_number": "765-482-7100",
            "fax_number": "317-674-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001489A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100073590",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine N Tran, DO
• Cheryl Lynn Tucker, N.D. D.HOM
• Shawna Tully, LMFT
• Tanya Marie Tunnell-Brewer, RN
• Ling Dan Twohig, DO
• Urology of Indiana L.L.C.
• Tiffany Vansickle, RBT
• Erick Vasquez-Caldera, RBT
• Lacey Vazquez, RBT
• Rylie Paige Velez, DPT

• Clinical Social Worker in Lebanon, IN
• Providers in Lebanon, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.