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

Tyler Richardson, LCSW

Individual provider Clinical Social Worker · NPI 1386266708

Tyler Richardson, LCSW is a Clinical Social Worker in Kimberly, Idaho. Licensed in Idaho. Registered with an NPI since 2020.

Licensed in
ID
In the registry since
2020
Specialties on file
2
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

311 Main St S
Kimberly, ID 83341-2052
Phone: (208) 423-4170
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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 8911064 (ID)
Social Worker Taxonomy 104100000X · Licence LMSW-42391 (ID)

Record details

NPI number1386266708
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 7, 2020
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026
Mailing address311 Main St S, Kimberly, ID 83341-2052

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