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

Tyler Koontz, LSW

Individual provider Social Worker · NPI 1649699786

Tyler Koontz, LSW is a Social Worker in Champaign, Illinois. Works from 2 locations. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

309 W Clark St
Champaign, IL 61820-4637
Phone: (217) 398-9066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 801 N Walnut St, Champaign, IL 61820-3055 — (217) 373-2430

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1649699786
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorNo
NPI enumeratedApril 15, 2014
Last updated in NPPESMay 7, 2020
Certification dateMay 7, 2020
Mailing address309 W Clark St, Champaign, IL 61820-4637

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