Evan Timberlake, LCSW-C
Individual provider Active NPI Clinical Social Worker · Damascus, MD
NPI 1245989136 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1245989136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 24145 (MD)
- Practice address
- 10142 Kings Grove Way
Damascus, MD 20872-1737 - Phone
- (207) 807-2043
- NPI assigned
- Mar 20, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Affiliated Sante Group
Practice addresses (Care Compare)
7961 Eastern Ave
Suite 1
Silver Spring, MD 20910-4823
Phone (301) 572-6585
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240829003582 | DC | Practitioner - Clinical Social Worker | 8820537160 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24145 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montgomery County Maryland Government | Current |
Accepting new patients | |
| Affiliated Sante Group | Current |
Accepting new patients | |
| Nafs Holistic Healing LLC | Current |
Accepting new patients | |
| Montgomery County Maryland Government | Current |
Accepting new patients | |
| Montgomery County Maryland Government | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current |
Accepting new patients |
Locations
401 Hungerford Dr
Ste 500
Rockville, MD 20850
Phone (301) 217-1345
401 Hungerford Dr
Fl 6
Rockville, MD 20850
1500 E Gude Dr
Rockville, MD 20850
Phone (240) 733-1211
12200 Tech Rd
Ste 330
Silver Spring, MD 20904
Phone 3013408339213
7961 Eastern Ave
Fl 1
Silver Spring, MD 20910
Phone (301) 589-2303
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
Interoperability endpoints
- evan.timberlake.d1.p1@direct.mcg-hhs.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 24145 | MD | Yes |
Addresses
Primary practice location
10142 Kings Grove Way
Damascus, MD 20872-1737
Mailing address
10142 Kings Grove Way
Damascus, MD 20872-1737
Phone (207) 807-2043
Other providers in Damascus, MD
- Kalle Marie Swinford
- Alexa Tanner
- Berhane Hafiso Teroro
- Nancy Thorner
- Mark Owens Thornton
- Ambrose Jing-Hay To
- Elizabeth Tsakiris
- Kelly Ann Valceanu
- Michael Kimo Van Gieson
- Lyn Verna
All providers in Damascus, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.