Active NPI
Timothy L. Allen, L.C.S.W.
- Clinical Social Worker
- Glen Carbon, IL
National Provider Identifier
1346680006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.003966
- Practice address
- 9 Junction Dr W
Glen Carbon, IL 62034-2931 - Phone
- (618) 205-3561
- NPI assigned
- Jun 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.003966 | IL | Primary |
Addresses
Primary practice location
9 Junction Dr W
Glen Carbon, IL 62034-2931
Mailing address
9 Junction Dr W
Suite 3
Glen Carbon, IL 62034-2931
Phone (618) 205-3561
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 |
|---|---|---|---|
| 149.003966 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372204800000",
"number": "1346680006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 JUNCTION DR W",
"address_2": "SUITE 3",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620342931",
"telephone_number": "618-205-3561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 JUNCTION DR W",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620342931",
"telephone_number": "618-205-3561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "TIMOTHY",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-26",
"last_updated": "2013-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.003966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Carbon, IL
- Brianna Lanae Ahlmeyer, RN
- Ahs Il Medical Group LLC (ILSW Orthopedics)
- James Samuel Akeman, RBT
- Annette L Albertson
- Shannon Allen, DMD
- Allergy & Asthma Care LTD
- Joshua C Allison, C-PED
- Alternatives Counseling, Inc
- Alternatives Counseling, Inc.
- American Healthcare Systems Illinois LLC (Edwardsville Ambulatory Surgery Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.