Individual provider Active NPI

Timothy Best

  • Clinical Social Worker
  • Ormond Beach, FL
National Provider Identifier
1578872669
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW4801 Issued in FL
Practice address
113 Camino Cir
Ormond Beach, FL 32174-7450
Phone
(386) 675-2729
NPI assigned
Oct 7, 2010
Last updated
Jul 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW4801 FL Primary

Addresses

Primary practice location

113 Camino Cir
Ormond Beach, FL 32174-7450

Mailing address

561 E Burleigh Blvd Lot 66
Tavares, FL 32778-2046
Phone (386) 675-2101

Other identifiers 1

IdentifierTypeStateIssuer
ISW4801OtherFLREGISTERED CLINICAL WORKER INTERN

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

LicenseStateTypeSpecialty
ISW4801FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1578872669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 E BURLEIGH BLVD LOT 66",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327782046",
            "telephone_number": "386-675-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CAMINO CIR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321747450",
            "telephone_number": "386-675-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEST",
        "first_name": "TIMOTHY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-07",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW4801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED CLINICAL WORKER INTERN",
            "identifier": "ISW4801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.