Timothy Albro, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11911 Issued in FL

Practice address

2523 Herschel St
Jacksonville, FL 32204-4509

Phone

(904) 516-0012

NPI assigned

Oct 3, 2011

Last updated

Sep 30, 2022By 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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pathways Resolution Center, Inc.

  dba OMS, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orange Park, FL
  • NPI 1730882663
  NPD (past)

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1578847174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 MELROSE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102130",
            "telephone_number": "904-516-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 HERSCHEL ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044509",
            "telephone_number": "904-516-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBRO",
        "first_name": "TIMOTHY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-03",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ann Albertson, PA-C
• Gabriela Reija Alboucrek
• Kaitlyn Lemes Albrecht, DO
• Nathan Albrecht, DO
• Lauren M Albritton, CRNA
• Abdulaziz H Alburaih, M.D
• Courtney Nicole Albury, DO
• Merna Albury, APRN
• Michael Lawrence Albus, MD
• Ibel E Alcantara

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.