Active NPI
Joan Timmermann, LCSW
- Clinical Social Worker
- Moline, IL
National Provider Identifier
1023001872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 4600 3Rd St
Moline, IL 61265-6106 - Phone
- (309) 779-2031
- NPI assigned
- Aug 26, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | IL | Primary |
Addresses
Primary practice location
4600 3Rd St
Moline, IL 61265-6106
Mailing address
4602 3Rd St
Moline, IL 61265-6106
Phone (309) 779-2031
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2216715 | Other | IL | FIRST HEALTH AND CCN |
| 0580985 | Medicaid | IL | |
| 1580985 | Medicaid | IL | |
| 99113 | Other | IL | BLUE CROSS IOWA |
| 4773D6 | Other | IL | JOHN DEERE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023001872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4602 3RD ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656106",
"telephone_number": "309-779-2031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 3RD ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656106",
"telephone_number": "309-779-2031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMERMANN",
"first_name": "JOAN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH AND CCN",
"identifier": "2216715",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0580985",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1580985",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS IOWA",
"identifier": "99113",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE NUMBER",
"identifier": "4773D6",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.