Letecia D Timmel, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34008385A Issued in IN

Practice address

401 E 8TH St
Rochester, IN 46975-1443

Phone

(574) 223-8586

Fax

(574) 223-8786

NPI assigned

May 3, 2013

Last updated

Dec 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Four County Comprehensive Mental Health Center Inc

  dba 4C Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Peru, IN
  • NPI 1972545945
  Medicare reassignment NPD
• Four County Comprehensive Mental Health Center, Inc

  dba 4C Health

  • Psychiatric Hospital
  • Peru, IN
  • NPI 1457539751
  NPD

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1225473218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FULTON ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471577",
            "telephone_number": "574-722-5151",
            "fax_number": "574-739-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 8TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469751443",
            "telephone_number": "574-223-8586",
            "fax_number": "574-223-8786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 N Harrison St",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "IN",
            "postal_code": "465803163",
            "country_code": "US",
            "telephone_number": "574-267-7169",
            "fax_number": "574-269-5573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMMEL",
        "first_name": "LETECIA",
        "middle_name": "D",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008385A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suk S Lee M.D. Inc
• Jennifer Marie Sult, MD
• Tiffany Teague, PHARMD
• Elizabeth Ann Thomas, MA CCC-SLP
• Tura Thompson, BA
• Trinity Healthcare, Inc.
• Thomas O Troutman, O.D.
• VDP Rochester LLC (Implant and Cosmetic Dentistry)
• Vista Hospice Care LLC (Gentiva)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1639)

• Clinical Social Worker in Rochester, IN
• Providers in Rochester, IN by specialty
• Clinical Social Worker in Indiana

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

Verify at the official NPI Registry.