Timothy D Gearhart, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005777A Issued in IN

Practice address

840 S 25 W
Winamac, IN 46996-8338

Phone

(574) 242-0094

NPI assigned

Jan 7, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pulaski Memorial HospitalGroup PAC ID 3173515509, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pulaski Memorial Hospital

  • Rural Health Clinic/Center
  • Winamac, IN
  • NPI 1740403419

  IN

  Medicare reassignment NPD
• Pulaski Memorial Hospital

  • Skilled Nursing Facility
  • South Bend, IN
  • NPI 1093750119
  NPD

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1285871673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S 25 W STE A",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "469968338",
            "telephone_number": "574-242-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S 25 W",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "469968338",
            "telephone_number": "574-242-0094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Winamac",
            "state": "IN",
            "postal_code": "469961173",
            "country_code": "US",
            "telephone_number": "574-946-2194",
            "fax_number": "574-946-2196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEARHART",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-07",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005777A",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Faanes, DPM
• Family & Women'S Health Services
• Sherri Lee Fisher, BLS
• William S. Fox, PT
• Tisha Fry, NP
• Taylor Gibson
• Goble Heal Chiropractic PC
• Cheryl E Goble, D.C.
• Alexa Good, NP
• Pamela D Graham, LSW

• All providers in Winamac, IN
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.