Timothy Nelson Barbour, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW 60129742 Issued in WA

Practice address

8121 W Quinault Ave Ste F202
Kennewick, WA 99336-8210

Phone

(509) 713-5802

NPI assigned

Nov 27, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1043555311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7824 RUSH CREEK DR",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018004",
            "telephone_number": "509-713-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 W QUINAULT AVE STE F202",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368210",
            "telephone_number": "509-713-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOUR",
        "first_name": "TIMOTHY",
        "middle_name": "NELSON",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-27",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 60129742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Arenold Bale, LICENSED PHARMACIST
• Seneca Ryan Baller
• Aaron Michael Banta, O.D.
• Katherine Banta
• Christopher Barada, LMT
• Jonathan G Barcom, BS PSYCHOLOGY
• Meghann Barker, RN
• Lillian B Barnes, LMP
• Teresa Barnes
• Kathryn R. Barnett, LMP

• Clinical Social Worker in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.