Individual provider Active NPI

Timothy J. Toole, LCSW

  • Clinical Social Worker
  • Newark, DE
National Provider Identifier
1073843934
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0000163 Issued in DE
Practice address
262 Chapman Rd
The Bellevue BLDG, Suite 100
Newark, DE 19702-5448
Phone
(302) 292-0888
Fax
(302) 292-0889
NPI assigned
Dec 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0000163 DE Primary

Addresses

Primary practice location

262 Chapman Rd
The Bellevue BLDG, Suite 100
Newark, DE 19702-5448

Mailing address

262 Chapman Rd
The Bellevue BLDG, Suite 100
Newark, DE 19702-5448
Phone (302) 292-0888

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

State licenses

LicenseStateTypeSpecialty
Q1-0000163DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cindy Elko PSYD LLC PastSince May 4, 2014 Accepting new patients
Ivan Cohen MD and Associates LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261958400000",
    "number": "1073843934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 CHAPMAN RD",
            "address_2": "THE BELLEVUE BLDG, SUITE 100",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025448",
            "telephone_number": "302-292-0888",
            "fax_number": "302-292-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 CHAPMAN RD",
            "address_2": "THE BELLEVUE BLDG, SUITE 100",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025448",
            "telephone_number": "302-292-0888",
            "fax_number": "302-292-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOLE",
        "first_name": "TIMOTHY",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.