Timothy Smith, APSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

131577-121 Issued in WI

Practice address

1509 S Commercial St
Neenah, WI 54956-6152

Phone

(920) 722-8150

NPI assigned

Jul 6, 2019

Sex

Male

Sole proprietor

No

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 WI

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

Clinical Social Worker

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Reach Counseling Services, IncGroup PAC ID 8022482447, 5 clinicians

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.

• Reach Counseling Services, Inc.

  • Mental Health Counselor
  • Neenah, WI
  • NPI 1861592842

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1562371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562371200000",
    "number": "1730741174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549566152",
            "telephone_number": "920-722-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549566152",
            "telephone_number": "920-722-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIMOTHY",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-06",
        "last_updated": "2019-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "131577-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James F. Smick, MD
• Jennifer Smit, MSE
• Kelley Lynn Smith, APNP
• Margaret R Smith, PT
• Stephanie Smith
• Veronica Solis-Rohr, MD
• Paula Sorensen, PT
• Jennifer Soriano, LPC-IT
• Kristin Sparkman, M.S.W., A.P.S.W
• Special Care Services LLC

• Clinical Social Worker in Neenah, WI
• Providers in Neenah, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2019; 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.