Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tyler Cook, LCSW

Individual provider Clinical Social Worker · NPI 1053150458

Tyler Cook, LCSW is a Clinical Social Worker in Malad City, Idaho. Licensed in Idaho. Registered with an NPI since 2024.

Licensed in
ID
In the registry since
2024
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

148 E 50 S Ste 2
Malad City, ID 83252-1368
Phone: (208) 609-3010
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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 LCSW-9421020 (ID)

Record details

NPI number1053150458
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 23, 2024
Last updated in NPPESOctober 3, 2026
Certification dateOctober 3, 2026

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