Timothy C Traylor, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

30609 Issued in MD

Practice address

9475 Lottsford Rd
Largo, MD 20774-5357

Phone

(301) 636-6504

NPI assigned

Nov 13, 2023

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Qci Behavioral Health

  • Health Maintenance Organization
  • Largo, MD
  • NPI 1700019577
  NPD (past)

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1285408013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 ALBERMARLE DR",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142015",
            "telephone_number": "202-341-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 LOTTSFORD RD",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745357",
            "telephone_number": "301-636-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYLOR",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "30609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Transcend Wellness
• Transfomation Oasis Residential Treatment Program LLC
• Transitions Counseling and Mentoring Services Inc.
• Transitions Counseling and Mentoring Services Inc.
• Transitions Counseling and Mentoring Services Inc.
• TRH Family Solutions LLC
• Triibe Medical LLC
• Lynn S Trombka, MD
• Chun Ming Tseng, MD
• Regina Jasmine Tucker, PMH,CNS,BC

• Clinical Social Worker in Largo, MD
• Providers in Largo, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.