Active NPI
Tim Adkins, LICSW
- Clinical Social Worker
- Huntington, WV
National Provider Identifier
1407330285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- DP00944845
- Practice address
- 800 20TH St
Huntington, WV 25703-1850 - Phone
- (304) 696-8700
- Fax
- (304) 696-8701
- NPI assigned
- Sep 18, 2018
- Last updated
- Nov 24, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | DP00944845 | WV | Primary |
Addresses
Primary practice location
800 20TH St
Huntington, WV 25703-1850
Mailing address
800 20TH St
Huntington, WV 25703-1850
Phone (304) 696-8700
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adkins1095@marshall.edu | ||
| Direct Messaging Address | caitlin.sallie@marshall.cernerdirect.com | ||
| Direct Messaging Address | adkins1095@marshall.cernerdirect.com |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DP00944845 | WV | MD | Clinical Social Worker |
Interoperability endpoints
- adkins1095@marshall.cernerdirect.com
- adkins1095@marshall.edu
- caitlin.sallie@marshall.cernerdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1407330285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 20TH ST",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257031850",
"telephone_number": "304-696-8700",
"fax_number": "304-696-8701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 20TH ST",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257031850",
"telephone_number": "304-696-8700",
"fax_number": "304-696-8701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADKINS",
"first_name": "TIM",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-18",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "DP00944845",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adkins1095@marshall.edu",
"affiliation": "N",
"address_1": "800 20th St",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "257031850",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "caitlin.sallie@marshall.cernerdirect.com",
"affiliation": "N",
"address_1": "800 20th St",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "257031850",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adkins1095@marshall.cernerdirect.com",
"affiliation": "N",
"address_1": "800 20th St",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "257031850",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.