Individual provider · Type 1 NPI

Tyler Thompson Smith, LCSW

Clinical Social Worker · Juneau, WI

NPI number 1093401929 Active

Practice location

199 County Df
Juneau, WI 53039-9512

Mailing address

504 Midge St
Johnson Creek, WI 53038-1203

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X12097-123 (WI)
Clinical Social Worker 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1093401929

Tyler Thompson Smith, LCSW's National Provider Identifier is 1093401929, issued on Apr 13, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Juneau, WI. The record was last updated on Oct 29, 2026.