Active NPI
Jennifer Timpa, LMSW
- Social Worker
- Huntington, NY
National Provider Identifier
1295150076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 091434
- Practice address
- 423 Park Ave
Huntington, NY 11743-2803 - Phone
- (631) 271-3591
- NPI assigned
- Mar 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 091434 | NY | Primary |
Addresses
Primary practice location
423 Park Ave
Huntington, NY 11743-2803
Mailing address
64 Stellenwerf Ave
Islip Terrace, NY 11752-2609
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
| License | State | Type | Specialty |
|---|---|---|---|
| 091434 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393804800000",
"number": "1295150076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 STELLENWERF AVE",
"city": "ISLIP TERRACE",
"state": "NY",
"postal_code": "117522609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 PARK AVE",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432803",
"telephone_number": "631-271-3591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMPA",
"first_name": "JENNIFER",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-03",
"last_updated": "2014-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "091434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
- Lori Ellen Thornhill, D.D.S.
- Matthew William Thorp, PMHNP
- Thrive Pathway Mental Health Counseling Services PLLC
- Thriving Under Pressure Counseling Service, LLC
- Frances Paula Thuro, LCSW-R
- Robert W Timson, DDS
- John W Titcomb, P.T.
- Katherine Anna Tkach, O.D.
- TMS Medical of Ny PC
- Eric Lester Tobias, D.M.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.