TYLER RAY SMATHERS (LCSW) – Clinical Social Worker, NPI 1205346590

TYLER RAY SMATHERS (LCSW) is a healthcare provider. based in Evanston, Wyoming. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. LCSW-1299 (WY). The NPI Number for TYLER RAY SMATHERS (LCSW) is 1205346590

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
TYLER RAY SMATHERS (LCSW)
NPI
1205346590
Phone
(307) 789-7915
Address
350 CITY VIEW DR STE 206
Enumeration Date
2 October 2017
Last Update Date
20 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3077823097
Graduation Year
2019 (7 years ago)
PAC ID
7315474723
Group Practice PAC ID
0648454587
Professional Enrollment ID
I20251209002034
Address ID
WY829379007LY14XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

227 CLINICAL SOCIAL WORKER in WY

Provider Addresses for TYLER RAY SMATHERS (LCSW)

  • 206, City View Drive, Evanston, Uinta County, Wyoming, 82930, United States

    EVANSTON, WY 829305326

    Phone: (307) 789-7915

    Fax: (307) 789-6009

    Type: Mailing

  • PO BOX 153

    MOUNTAIN VIEW, WY 829390153

    Phone: (307) 337-6169

    Type: Mailing

  • 230 FOREST PL

    MOUNTAIN VIEW, WY 829395140

    Phone: (307) 337-6169

    Type: Location

  • 903 S ADAMS ST

    RITZVILLE, WA 991692227

    Phone: (509) 659-1200

    Type: Mailing

  • 350 City View Dr Ste 206

    Evanston, WY 829305326

    Phone: (307) 789-7915

    Fax: (307) 789-6009

    Type: Location

  • 230 Forest Pl

    Mountain View, WY 829395140

    Phone: (307) 337-6169

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241226000488IClinical PsychologistWATBD
I20251209002034IClinical Social WorkerWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82930)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648454587View full group profile
NameSpecialtyState
Marriage And Family TherapistID
Mental Health CounselorWY
Mental Health CounselorMT
Clinical Social WorkerWY
Clinical Social WorkerCO
Clinical Social WorkerWY
Nurse PractitionerID
Clinical Social WorkerWY
Clinical Social WorkerID
Mental Health CounselorWY

Reviews

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Frequently asked questions

What number should I use to identify TYLER RAY SMATHERS (LCSW) for billing?
Administrative and clinical systems typically use NPI 1205346590 for TYLER RAY SMATHERS (LCSW).
Does the public listing show TYLER RAY SMATHERS (LCSW) as active?
TYLER RAY SMATHERS (LCSW)'s NPI record reflects an active status in NPPES.
Which specialty label fits TYLER RAY SMATHERS (LCSW)?
NPPES ties TYLER RAY SMATHERS (LCSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to TYLER RAY SMATHERS (LCSW)?
The directory associates TYLER RAY SMATHERS (LCSW) with Evanston, Wyoming. Check all listed addresses for suites or satellite offices.
Can I export TYLER RAY SMATHERS (LCSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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