Individual provider Active NPI

Timothy Donalson, LCSW

  • Social Worker
  • Browns Mills, NJ
National Provider Identifier
1619630498
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SC06310500 Issued in NJ
Practice address
2801 N Lakeshore Dr
Browns Mills, NJ 08015-2904
Phone
(609) 933-1415
Fax
(609) 933-1415
NPI assigned
Oct 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SC06310500 NJ Primary

Addresses

Primary practice location

2801 N Lakeshore Dr
Browns Mills, NJ 08015-2904

Mailing address

2801 N Lakeshore Dr
Browns Mills, NJ 08015-2904

Other practice location 1

126 W 5th Ave
Roselle, NJ 07203-1903
Phone (908) 906-4400

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.rnretp.com Direct

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
44SC06310500NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ascent to Empowerment LLC PastSince Oct 24, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1619630498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 N LAKESHORE DR",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "080152904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N LAKESHORE DR",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "080152904",
            "telephone_number": "609-933-1415",
            "fax_number": "609-933-1415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 W 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Roselle",
            "state": "NJ",
            "postal_code": "072031903",
            "country_code": "US",
            "telephone_number": "908-906-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONALSON",
        "first_name": "TIMOTHY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-18",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC06310500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.rnretp.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "126 W 5th Ave",
            "city": "Roselle",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "072031903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Browns Mills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.