Provider Demographics
NPI:1720979354
Name:MCEWEN, TYLER (ACSW)
Entity type:Individual
Prefix:MRS
First Name:TYLER
Middle Name:
Last Name:MCEWEN
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 LAS FLORES
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-6203
Mailing Address - Country:US
Mailing Address - Phone:619-733-3819
Mailing Address - Fax:
Practice Address - Street 1:2043 WESTCLIFF DR STE 201
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-5510
Practice Address - Country:US
Practice Address - Phone:844-932-7473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1175361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical