Timothy H Brady, LISW, LMFT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0001503 Issued in OH

Practice address

192 Chestnut Ridge Rd
West Union, OH 45693-9584

Phone

(937) 544-5581

Fax

(937) 544-7327

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Shawnee Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portsmouth, OH
  • NPI 1336173236
  NPD
• Shawnee Mental Health Center, Inc.

  • Community/Retail Pharmacy
  • Portsmouth, OH
  • NPI 1992524045
  NPD
• Shawnee Mental Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Portsmouth, OH
  • NPI 1063982924
  NPD (past)
• Shawnee Mental Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Coal Grove, OH
  • NPI 1225508195
  NPD (past)
• Shawnee Mental Health Center, Inc.

  • Clinic/Center
  • Portsmouth, OH
  • NPI 1730682733
  NPD (past)
• Shawnee Mental Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • West Union, OH
  • NPI 1750851622
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1346386554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 CHESTNUT RIDGE RD",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456939584",
            "telephone_number": "937-544-5581",
            "fax_number": "937-544-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 CHESTNUT RIDGE RD",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456939584",
            "telephone_number": "937-544-5581",
            "fax_number": "937-544-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "TIMOTHY",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "LISW, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0001503",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F0000071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Allen Blake, R.PH.
• Misty Dawn Blanton
• Brianne Blevins
• Amanda Sue Boldman
• Amy Renae Bowling, LPN
• William Joseph Brammer, RPH
• Heather Lynn Brewer
• Linda Sue Brumley
• Jason Paul Buda
• Roseanna Butt

• Clinical Social Worker in West Union, OH
• Providers in West Union, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.