Timoteo Dario Yepes, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW 60022341 Issued in WA

Practice address

1110 Golf Club Rd SE Ste 101
Lacey, WA 98503-2302

Phone

(206) 679-0531

NPI assigned

Apr 7, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Timothy Dario Yepes Former name

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coram Deo Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Shelton, WA
  • NPI 1598591497
  Medicare reassignment NPD Authorized official
• Centrepointe Counseling, Inc.

  • Pastoral Counselor
  • Ashton, MD
  • NPI 1528014966
  NPD (past)

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1184949786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 SE GOSNELL LN",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985848384",
            "telephone_number": "206-679-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 GOLF CLUB RD SE STE 101",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032302",
            "telephone_number": "206-679-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEPES",
        "first_name": "TIMOTEO",
        "middle_name": "DARIO",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 60022341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "YEPES",
            "middle_name": "DARIO",
            "prefix": "MR.",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura M Yates, M.D.
• Marilyn Renee Yearian
• Danielle K Yee, M.D.
• Yellow Cab Northwest Inc
• Consilia Samkia Yeluma
• Patrice Mary Yoder, DDS
• Alexander Jordan Yokel, BT
• Erik Martin Young-Brown, COTA
• Heather Marie Young, NC60001082
• Kassandra Young, MSSW

• Clinical Social Worker in Lacey, WA
• Providers in Lacey, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.