IndividualActive
Tyran Dewalt
NPI 1720366933 · Clinical Social Worker · Louisville, KY
Tyran Dewalt is a Clinical Social Worker provider in Louisville, KY (NPI 1720366933).
Provider details
- NPI number
- 1720366933
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 260261 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10510 La Grange Rd
Louisville, KY 40223-1277
Phone: (502) 589-8600
Fax: (502) 589-8771
Street-level locationGet directions
Mailing address
101 W Muhammad Ali Blvd
Louisville, KY 40202-1423
Registry dates
- Enumerated
- 2011-07-22
- Last updated
- 2025-12-01
- Certified
- 2025-12-01
Frequently asked questions
- What is Tyran Dewalt's NPI number?
- Tyran Dewalt's National Provider Identifier (NPI) is 1720366933, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyran Dewalt's specialty?
- Tyran Dewalt is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tyran Dewalt located?
- Tyran Dewalt's practice location on file with NPPES is 10510 La Grange Rd, Louisville, KY 40223-1277.
- What is Tyran Dewalt's phone number?
- The practice phone number listed in the NPPES registry for Tyran Dewalt is (502) 589-8600.
- Is Tyran Dewalt's NPI active?
- Yes — Tyran Dewalt's NPI (1720366933) is active in the NPPES registry as of the last update on 2025-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.