Individual provider Active NPI

Timothy Carper, LSW

  • Social Worker
  • Charleston, WV
National Provider Identifier
1285351437
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
AP00940712 Issued in WV
Practice address
1520 Kanawha Blvd E
Charleston, WV 25311-2413
Phone
(681) 265-9047
NPI assigned
Oct 27, 2022
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X AP00940712 WV Primary

Addresses

Primary practice location

1520 Kanawha Blvd E
Charleston, WV 25311-2413

Mailing address

PO Box 9569
South Charleston, WV 25309-0569
Phone (304) 344-8515

Other practice location 1

3225 Robert C. Byrd Drive
Beckley, WV 25801
Phone (304) 256-6950

Other practice location 2

1339 Plaza E
Charleston, WV 25301-1405
Phone (304) 558-3597

Other practice location 3

One Mountainside Way
Mount Olive, WV 25185-0001
Phone (304) 442-7213

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
AP00940712WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psimed, Inc. CurrentSince Oct 30, 2022 Accepting new patients
Links LLC PastSince Oct 30, 2022 Accepting new patients

Locations

1520 Kanawha Blvd E
Charleston, WV 25311
Phone (681) 265-9047

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1285351437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9569",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253090569",
            "telephone_number": "304-344-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 KANAWHA BLVD E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253112413",
            "telephone_number": "681-265-9047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3225 Robert C. Byrd Drive",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "25801",
            "country_code": "US",
            "telephone_number": "304-256-6950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1339 Plaza E",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011405",
            "country_code": "US",
            "telephone_number": "304-558-3597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "One Mountainside Way",
            "address_purpose": "LOCATION",
            "city": "Mount Olive",
            "state": "WV",
            "postal_code": "251850001",
            "country_code": "US",
            "telephone_number": "304-442-7213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPER",
        "first_name": "TIMOTHY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "AP00940712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.