Active NPI
Linda Giselle Timme, LCSW
- Clinical Social Worker
- Harrisburg, PA
National Provider Identifier
1093260127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW019454
- Practice address
- 2215 Forest Hills Dr
Ste 38
Harrisburg, PA 17112-1099 - Phone
- (717) 743-0765
- Fax
- (717) 540-5151
- NPI assigned
- Aug 18, 2016
- Last updated
- Oct 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 28096 | MD | |
| Clinical Social Worker | 1041C0700X | CW019454 | PA | Primary |
Addresses
Primary practice location
2215 Forest Hills Dr
Ste 38
Harrisburg, PA 17112-1099
Mailing address
100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 543-7162
Other practice location 1
100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 543-7162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103324918 | Medicaid | PA |
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 |
|---|---|---|---|
| Commonwealth Affiliated Services, Inc | Clinical | Current | Accepting new patients |
Locations
2215 Forest Hills Dr
Ste 38
Harrisburg, PA 17112
Phone (717) 540-5353
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665187200000",
"number": "1093260127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E CARROLL ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015422",
"telephone_number": "410-543-7162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 FOREST HILLS DR",
"address_2": "STE 38",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171121099",
"telephone_number": "717-743-0765",
"fax_number": "717-540-5151"
}
],
"practiceLocations": [
{
"address_1": "100 E Carroll St",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218015422",
"country_code": "US",
"telephone_number": "410-543-7162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIMME",
"first_name": "LINDA",
"middle_name": "GISELLE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-18",
"last_updated": "2022-10-08",
"certification_date": "2022-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "28096",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW019454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103324918",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.