Individual provider · Type 1 NPI

Katherine M. Tyrell, LMSW

Clinical Social Worker · Fort Sam Houston, TX

NPI number 1104817477 Active

Practice location

3851 Roger Brooke Dr, Mche-Qd(creds)
Fort Sam Houston, TX 78234-4501

Call (210) 916-1362 Map

Mailing address

16314 Old Stable Rd
San Antonio, TX 78247-4415

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X32005 (TX)

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 1104817477

Katherine M. Tyrell, LMSW's National Provider Identifier is 1104817477, issued on Nov 4, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Jul 13, 2026.