Active NPI
Lynn E Miles Timineri, LCSW-R
- Clinical Social Worker
- Rochester, NY
National Provider Identifier
1184714800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R028655
- Practice address
- 3300 Monroe Ave
Suite 309
Rochester, NY 14618-4624 - Phone
- (585) 383-8710
- Fax
- (585) 383-8609
- NPI assigned
- Oct 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R028655 | NY | Primary |
Addresses
Primary practice location
3300 Monroe Ave
Suite 309
Rochester, NY 14618-4624
Mailing address
3300 Monroe Ave
Suite 309
Rochester, NY 14618-4624
Phone (585) 383-8710
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7300546 | Other | NY | AETHNA HEALTH INS |
| P010028655 | Other | NY | BLUE PRODUCTS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181129002330 | NY | Practitioner - Clinical Social Worker | 4981948056 | Practice locations: Pittsford, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R028655 | NY | MD | Clinical Social Worker |
| 028655 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1184714800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 MONROE AVE",
"address_2": "SUITE 309",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146184624",
"telephone_number": "585-383-8710",
"fax_number": "585-383-8609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 MONROE AVE",
"address_2": "SUITE 309",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146184624",
"telephone_number": "585-383-8710",
"fax_number": "585-383-8609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES TIMINERI",
"first_name": "LYNN",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R028655",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETHNA HEALTH INS",
"identifier": "7300546",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE PRODUCTS",
"identifier": "P010028655",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.