Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen A Tyler, LCSW

Individual provider Clinical Social Worker · NPI 1912538638

Kathleen A Tyler, LCSW is a Clinical Social Worker in Port Jefferson, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1401 Main St
Port Jefferson, NY 11777-2225
Phone: (631) 928-0202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 047068 (NY)

Record details

NPI number1912538638
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 31, 2020
Last updated in NPPESFebruary 26, 2020
Certification dateFebruary 26, 2020

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