Individual provider Active NPI

Timothy Patrick Handorf, LICSW

  • Clinical Social Worker
  • Hingham, MA
National Provider Identifier
1689730509
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104853 Issued in MA
Practice address
185 Lincoln St
#210
Hingham, MA 02043-1760
Phone
(781) 749-2089
Fax
(781) 749-0628
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 104853 MA Primary

Addresses

Primary practice location

185 Lincoln St
#210
Hingham, MA 02043-1760

Mailing address

185 Lincoln St
#210
Hingham, MA 02043-1760
Phone (781) 749-2089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20190214001981 MA Practitioner - Clinical Social Worker 2860730918 Practice locations: Hingham, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7 Ship St
Hingham, MA 02043-1815
Phone (781) 820-1207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689730509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 LINCOLN ST",
            "address_2": "#210",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431760",
            "telephone_number": "781-749-2089",
            "fax_number": "781-749-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 LINCOLN ST",
            "address_2": "#210",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431760",
            "telephone_number": "781-749-2089",
            "fax_number": "781-749-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDORF",
        "first_name": "TIMOTHY",
        "middle_name": "PATRICK",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.