Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053658369 Individual Practitioner Male Practitioner

Tyler W. Loder , LSCSW

Social Worker - Clinical • Eglin Afb, FL

Professional Overview & Biography Verified Profile Summary

Tyler Loder, LSCSW is a registered healthcare professional specializing in Social Worker - Clinical in Eglin Afb, FL. Practice services are available at 307 BOATNER RD STE 114 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

307 Boatner Rd Ste 114

Eglin Afb, FL 325421302

Telephone 8508838600
Associated Practice Facility / Clinic
🏢 Individual Provider Facility NPI 1376890293

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Eglin Afb, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
39 Specialists

Practicing in Eglin Afb, FL (13861 Statewide)

Telehealth Adoption Rate
2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-28
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License KS 4320

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Lucas Petkewitz , DPT

Physical Therapist

NPI 1003228057

Doctor of Physical Therapy

Dr. Boden Port , DO

General Practice

NPI 1003519919

Doctor of Osteopathic Medicine (D.O.)

Dr. Eric Weiss , MD

General Practice

NPI 1013370444

Doctor of Medicine (M.D.)

Dr. Brock Jones , MD

Military Health Care Provider

NPI 1033046024

Doctor of Medicine (M.D.)

Stephen Biggs , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1033671227
Dr. Caleb Kiesow , MD

Family Medicine

NPI 1033704226

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location February 28, 2023

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508838600)

📍
Updated Business Mailing Address February 28, 2023

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508838600)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2023

Social Worker (License #4320 in KS)

NPI Profile Active November 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2016

Registered at 9920A E JOHNSON ST, MADIGAN ANNEX, TACOMA, WA 984311100 (Tel: 2539669952)

📍
Updated Business Mailing Address November 01, 2016

Registered at 9920A E JOHNSON ST, MADIGAN ANNEX, TACOMA, WA 984311100 (Tel: 2539669952)

👤
Provider Name / Credentials Updated November 01, 2016

Recorded as TYLER LODER, LSCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2016

Social Worker (License #4320 in KS)

🟢
Initial NPI Registration & Enumeration January 07, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053658369
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 07, 2013
Last Update: February 28, 2023
Sole Proprietor: No

Mailing Address

307 Boatner Rd Ste 114

Eglin Afb, FL 325421302

Phone: 8508838600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.