Timothy Maxwell Liles, SWT, CDCA, QMHS, CMS

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1802660 Issued in OH

Practice address

519 Court St
Portsmouth, OH 45662-3933

Phone

(740) 876-4370

NPI assigned

Sep 14, 2017

Last updated

Aug 5, 2024By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Cardinal Treatment Centers IncGroup PAC ID 3375974421, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DEDBDD/Endpoint/DEDBDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cardinal Treatment Centers Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Portsmouth, OH
  • NPI 1215589197
  Medicare reassignment Care Compare group NPD
• Aurora-Recovery, LLC

  • Community/Behavioral Health Agency
  • Brookfield, OH
  • NPI 1962049684
  Medicare reassignment NPD
• Cardinal Treatment Centers Piketon, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chillicothe, OH
  • NPI 1194432591
  Medicare reassignment NPD
• Shawnee Counseling Center LLC

  • Substance Abuse Rehabilitation Facility
  • Portsmouth, OH
  • NPI 1033695051
  Medicare reassignment NPD
• Aurora-Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Brookfield, OH
  • NPI 1114591849
  NPD
• Cardinal Treatment Centers Inc

  dba Cardinal Treatment Centers Home Health

  • Home Health Agency
  • Portsmouth, OH
  • NPI 1225724412
  NPD
• Shawnee Counseling Center LLC

  • Community/Behavioral Health Agency
  • Portsmouth, OH
  • NPI 1780278705
  NPD

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1376062992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 FINDLAY ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 COURT ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623933",
            "telephone_number": "740-876-4370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 6th St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456624406",
            "country_code": "US",
            "telephone_number": "740-876-4370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Court St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "45662",
            "country_code": "US",
            "telephone_number": "740-354-6685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "542 6th Street",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "45662",
            "country_code": "US",
            "telephone_number": "740-876-4370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2828 Gallia St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456624809",
            "country_code": "US",
            "telephone_number": "740-876-4370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILES",
        "first_name": "TIMOTHY",
        "middle_name": "MAXWELL",
        "name_prefix": "Mr.",
        "credential": "SWT, CDCA, QMHS, CMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-14",
        "last_updated": "2024-08-05",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161932",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDC.161605",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1802660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Emergency Medical Services
• Life Medical Response, Inc.
• Life Medical Response, Inc.
• Alexandra B Liles
• Darienne N Liles, CNM
• Jessica Lilje
• Lincare Inc.
• Alexus Nicole Lisath, LCDCIII
• Mykeia Lisath
• Audrey Litteral

• Social Worker in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.