SearchKentuckyClinical Social Worker

Tyran Dewalt

NPI 1720366933 · on the registry since 2011

Practice

Address
10510 La Grange Rd
Louisville, KY 40223
Phone
(502) 589-8600
Fax
(502) 589-8771
Organisation at this address
Central State Hospital
Commonwealth Of Kentucky
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky