Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Keenan P Tyner, LCSW
Clinical Social Worker in Ukiah, CA · enumerated 2009.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1023347911
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Registry record
Entity type Individual (Type 1)
Name Mr. Keenan P Tyner
Credential LCSW
Sex Male
Practice address 2240 Old River Rd, Ukiah, CA, 95482
Phone (707) 467-5181
Enumeration date Dec 23, 2009
Last updated in NPPES Mar 30, 2023
Taxonomy & licenses
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License 69833 (CA) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 69833 (CA) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License LCSW101659 (CA) Primary
LCSW · Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy.
About the LCSW credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Keenan Tyner?
Keenan Tyner is registered in NPPES with the primary taxonomy of Clinical Social Worker. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
Browse all → Mendocino County Superintendent of Schools Local Education Agency (LEA) · Ukiah, CA NPI 1396899043 County of Mendocino State or Local Public Health Clinic/Center · Ukiah, CA NPI 1780818179 Amanda Pantaleon Marriage & Family Therapist · Ukiah, CA NPI 1114287463 Kimberly Barden School Psychologist · Ukiah, CA NPI 1376155960 Desiree Oliver Mental Health Counselor · Ukiah, CA NPI 1093670242
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-30.