Individual provider Active NPI

Timothy McDowell, LCSW

  • Clinical Social Worker
  • North Huntingdon, PA
National Provider Identifier
1205292380
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018838 Issued in PA
Practice address
2000 Commerce Loop
Suite 2200
North Huntingdon, PA 15642
Phone
(724) 382-4628
Fax
(724) 515-7340
NPI assigned
Jan 5, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 CW018838 PA Primary

Addresses

Primary practice location

2000 Commerce Loop
Suite 2200
North Huntingdon, PA 15642

Mailing address

2000 Commerce Loop
Suite 2200
North Huntingdon, PA 15642
Phone (724) 382-4628

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

LicenseStateTypeSpecialty
CW018838PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Freedom Recovery Center, LLC Clinical CurrentSince Jul 24, 2022 Accepting new patients

Locations

2000 Commerce Loop
Ste 2200
North Huntingdon, PA 15642
Phone (724) 382-4628

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": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205292380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 COMMERCE LOOP",
            "address_2": "SUITE 2200",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "15642",
            "telephone_number": "724-382-4628",
            "fax_number": "724-515-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 COMMERCE LOOP",
            "address_2": "SUITE 2200",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "15642",
            "telephone_number": "724-382-4628",
            "fax_number": "724-515-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "TIMOTHY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.