Timothy Drum, LMSW

Individual provider Active NPI Social Worker · Westhampton Beach, NY

NPI 1669895397 · NPPES record last updated Jan 31, 2014

Key facts

NPI
1669895397
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
086203-1 (NY)
Practice address
7 Seafield LN
Westhampton Beach, NY 11978-2714
Phone
(631) 288-1122
Fax
(631) 288-1638
NPI assigned
Jan 31, 2014
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
086203-1NYMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 086203-1 NY Yes

Addresses

Primary practice location

7 Seafield LN
Westhampton Beach, NY 11978-2714

Mailing address

7 Seafield LN
Westhampton Beach, NY 11978-2714
Phone (631) 288-1122

Other providers in Westhampton Beach, NY

All providers in Westhampton Beach, NY · Social Worker in New York

Sources for this page

Verify at the official NPI Registry.