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

Kristopher Tuttle, LCSW

Individual provider Clinical Social Worker · NPI 1770291718

Kristopher Tuttle, LCSW is a Clinical Social Worker in Phoenix, Arizona. Qualified in 2022, 4 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
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

4909 E McDowell Rd
Phoenix, AZ 85008-4227
Phone: (602) 685-6000
Fax: (602) 275-1355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 104 E Riviera Dr, Tempe, AZ 85282-5118 — (480) 363-3171

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-23789 (AZ)

Record details

NPI number1770291718
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 8, 2022
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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