Timothy Peter Walsh, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017063 Issued in PA

Practice address

961 Marcon Blvd
Suite 312
Allentown, PA 18109-9521

Phone

(610) 266-0610

NPI assigned

Jun 24, 2009

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 PA

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

Mental Health Counselor

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• Glenn R. Koch & Associates, LLC

  • Counseling Psychologist
  • Allentown, PA
  • NPI 1093122699
  Medicare reassignment NPD
• Glenn R Koch and Associates Inc

  • Psychiatry Physician
  • Allentown, PA
  • NPI 1700949161
  NPD (past)

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1669600169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 MARCON BLVD",
            "address_2": "SUITE 312",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181099521",
            "telephone_number": "610-266-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 MARCON BLVD",
            "address_2": "SUITE 312",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181099521",
            "telephone_number": "610-266-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "TIMOTHY",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith B Walls, CRNP
• Alison Lynne Walsh, M.D.
• Allison Walsh, DPT
• Brandon M. Walsh, D.M.D.
• Joseph Byron Walsh III, DO
• Mark Eugene Walter, D.C.
• Rebecca Walter
• Walters Pharmacy Inc
• Mary Walters
• Patricia M Walters, M.A.

• Clinical Social Worker in Allentown, PA
• Providers in Allentown, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.