Active NPI
Timothy M Coughlin, APSW
- Clinical Social Worker
- Mount Pleasant, WI
National Provider Identifier
1184591398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 135795
- Practice address
- 2733 Village GRN E
Mount Pleasant, WI 53406-1933 - Phone
- (781) 718-3956
- NPI assigned
- Oct 22, 2025
- Sex
- Male
- 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 | 135795 | WI | Primary |
Addresses
Primary practice location
2733 Village GRN E
Mount Pleasant, WI 53406-1933
Mailing address
2733 Village GRN E
Mount Pleasant, WI 53406-1933
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135795 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1184591398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2733 VILLAGE GRN E",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534061933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2733 VILLAGE GRN E",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534061933",
"telephone_number": "781-718-3956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUGHLIN",
"first_name": "TIMOTHY",
"middle_name": "M",
"credential": "APSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-22",
"last_updated": "2025-10-22",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "135795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.