Theodore William Timmel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007462 Issued in CT

Practice address

107 Church Hill Rd
Suite 1
Sandy Hook, CT 06482-1194

Phone

(103) 313-3986

Fax

(203) 426-8947

NPI assigned

Dec 11, 2013

Last updated

Jun 11, 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nuvance Health Medical Practice CT, Inc.

  • Internal Medicine Physician
  • Danbury, CT
  • NPI 1407898117

  Clinical

  Medicare reassignment Care Compare group NPD
• TW Timmel LLC

  • Clinical Social Worker
  • Sandy Hook, CT
  • NPI 1265989644
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1619308905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BRISTLE LANE",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821476",
            "telephone_number": "203-313-3986",
            "fax_number": "203-426-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHURCH HILL RD",
            "address_2": "SUITE 1",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821194",
            "telephone_number": "103-313-3986",
            "fax_number": "203-426-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMEL",
        "first_name": "THEODORE",
        "middle_name": "WILLIAM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-11",
        "last_updated": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Stewart
• Lauren Storandt, OTR/L
• Christine Stowe, LCSW
• Asad Ali Syed
• The Neurovation Center, LLC
• Judy Toussaint, RN
• Tranquil PLLC
• TW Timmel LLC
• Theresa M Ullrich, LMFT
• Elizabeth P Ulreich-Moran, MS, CCC-SLP

• Clinical Social Worker in Sandy Hook, CT
• Providers in Sandy Hook, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.