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

Individual provider Clinical Social Worker · NPI 1669356481

Tyler William Willis, LCSW is a Clinical Social Worker in Bloomington, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2025
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

734 Ridge Crest Ct
Bloomington, IN 47401-4567
Phone: (317) 714-6455
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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 34011780A (IN)

Record details

NPI number1669356481
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 4, 2025
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025
Mailing address734 Ridge Crest Ct, Bloomington, IN 47401-4567

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