Individual provider Active NPI

Timothy Francis Dowling, LCSW

  • Clinical Social Worker
  • Boonville, NY
National Provider Identifier
1154489813
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0419181 Issued in NY
Practice address
120 Schuyler St
Boonville, NY 13309-1005
Phone
(315) 942-4252
Fax
(315) 942-3207
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R0419181 NY Primary

Addresses

Primary practice location

120 Schuyler St
Boonville, NY 13309-1005

Mailing address

120 Schuyler St
Boonville, NY 13309-1005
Phone (315) 942-4252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140723000021 NY Practitioner - Clinical Social Worker 7416173711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2503 W Rd
Boonville, NY 13309-1709
Phone (315) 942-4252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41918NYMDAddiction (Substance Use Disorder) Counselor
R0419181NYMDClinical Social Worker
041918NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Mental Health Group Clinical CurrentSince Nov 20, 2016 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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154489813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SCHUYLER ST",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "133091005",
            "telephone_number": "315-942-4252",
            "fax_number": "315-942-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SCHUYLER ST",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "133091005",
            "telephone_number": "315-942-4252",
            "fax_number": "315-942-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWLING",
        "first_name": "TIMOTHY",
        "middle_name": "FRANCIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0419181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonville, NY

Sources for this page

Verify at the official NPI Registry.