Active NPI
David Francis Timmer, M.S.W.
- Clinical Social Worker
- Hales Corners, WI
National Provider Identifier
1639286552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1722 123
- Practice address
- 5300 S 108TH St
12B
Hales Corners, WI 53130-1368 - Phone
- (414) 529-2591
- Fax
- (414) 529-2669
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1722 123 | WI | Primary |
| Marriage & Family Therapist | 106H00000X | 284 124 | WI |
Addresses
Primary practice location
5300 S 108TH St
12B
Hales Corners, WI 53130-1368
Mailing address
5300 S 108TH St
12B
Hales Corners, WI 53130-1368
Phone (414) 529-2591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39653900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2363 S 102ND St
Suite 301
West Allis, WI 53227-2143
Phone (262) 782-2090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1722 123 | WI | MD | Clinical Social Worker |
| 284 124 | WI | MD | Marriage & Family Therapist |
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.
-
- Psychologist
- Elm Grove, WI
- NPI 1477629640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1639286552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 S 108TH ST",
"address_2": "12B",
"city": "HALES CORNERS",
"state": "WI",
"postal_code": "531301368",
"telephone_number": "414-529-2591",
"fax_number": "414-529-2669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 S 108TH ST",
"address_2": "12B",
"city": "HALES CORNERS",
"state": "WI",
"postal_code": "531301368",
"telephone_number": "414-529-2591",
"fax_number": "414-529-2669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMER",
"first_name": "DAVID",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "1722 123",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "284 124",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39653900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hales Corners, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.