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

Mr. Christopher Colgan Tyler

Individual provider Clinical Social Worker · NPI 1497935324

Mr. Christopher Colgan Tyler is a Clinical Social Worker in Louisville, Kentucky. Qualified in 2005, 21 years ago. Practices with Mandala House, LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
21
Licensed in
KY
In the registry since
2007
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Practice location Address checks out

1190 E Broadway
Louisville, KY 40204-1712
Phone: (502) 627-0905
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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 3316 (KY)

Record details

NPI number1497935324
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 8, 2007
Last updated in NPPESOctober 21, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Mandala House, Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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