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

Tyler Thompson Smith, LCSW

Individual provider Clinical Social Worker · NPI 1093401929

Tyler Thompson Smith, LCSW is a Clinical Social Worker in Juneau, Wisconsin. Qualified in 2023, 3 years ago. Practices with County of Dodge, a 12-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023
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

199 County Df
Juneau, WI 53039-9512
Phone: (920) 386-3500
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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 12097-123 (WI)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1093401929
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 13, 2023
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025
Mailing address504 Midge St, Johnson Creek, WI 53038

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice County Of Dodge — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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