Timothy Andrew Sponsler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

090714 Issued in NY

Practice address

177 Prince St Apt 203
New York, NY 10012-2936

Phone

(646) 719-5645

NPI assigned

Sep 1, 2017

Last updated

Jul 6, 2021By the provider in NPPES

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

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1366960023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 4TH AVE # 638",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035213",
            "telephone_number": "646-719-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 PRINCE ST APT 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122936",
            "telephone_number": "646-719-5645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Park Ave Fl 17",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100161301",
            "country_code": "US",
            "telephone_number": "646-719-5645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 W 23rd St Fl 5",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100112599",
            "country_code": "US",
            "telephone_number": "646-719-5645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "93 4th Ave # 638",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100035213",
            "country_code": "US",
            "telephone_number": "646-719-5645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Broadway",
            "address_2": "Suite 1204",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10038",
            "country_code": "US",
            "telephone_number": "646-847-8444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Lexington Ave Fl 17",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101681799",
            "country_code": "US",
            "telephone_number": "646-847-8444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPONSLER",
        "first_name": "TIMOTHY",
        "middle_name": "ANDREW",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-01",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.