Justin Timko, LMSW
Individual provider Active NPI Clinical Social Worker · Hudson, NY
NPI 1275623969 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1275623969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 073171-1 (NY)
- Practice address
- 325 Columbia St
Hudson, NY 12534-1905 - Phone
- (518) 828-9446
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 073171-1 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 073171-1 | NY | Yes |
Addresses
Primary practice location
325 Columbia St
Hudson, NY 12534-1905
Mailing address
140 Jefferson HTS
Catskill, NY 12414-1215
Other providers in Hudson, NY
- Sun River Health Inc
- Jay W Swanson
- John Erik Swift
- Illya Szilak
- Tanya D Mays MD PLLC
- Sharon Toussaint
- Morgan Ashlee Tremont
- Triform Enterprises LTD.
- Troy Audiology, PC
- Stephanie Demetra Tsandikos
All providers in Hudson, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.