TW Timmel LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007462 Issued in CT

Legal business name

TW TIMMEL LLC

Practice address

107 Church Hill Rd.
Suite 1
Sandy Hook, CT 06482-1194

Phone

(203) 313-3986

Fax

(203) 426-8947

NPI assigned

Sep 2, 2016

Organization subpart

No

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

Authorized official

Name

Theodore William Timmel, LCSWNPI 1619308905

Title

Clinician

Phone

(203) 313-3986

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodore William Timmel, LCSW

  • Clinical Social Worker
  • Sandy Hook, CT
  • NPI 1619308905
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1265989644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BRISTLE LANE",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821476",
            "telephone_number": "203-313-3986",
            "fax_number": "203-426-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHURCH HILL RD.",
            "address_2": "SUITE 1",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821194",
            "telephone_number": "203-313-3986",
            "fax_number": "203-426-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TW TIMMEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "TIMMEL",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "203-313-3986",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asad Ali Syed
• The Neurovation Center, LLC
• Theodore William Timmel, LCSW
• Judy Toussaint, RN
• Tranquil PLLC
• Theresa M Ullrich, LMFT
• Elizabeth P Ulreich-Moran, MS, CCC-SLP
• Muhammed Vahid, LMSW
• Vincent Michael Varsh, LPC
• Heidi K Verdi, MS, RD, CD-N

• Clinical Social Worker in Sandy Hook, CT
• Providers in Sandy Hook, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.