Timothy P. Golba, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0000195 Issued in OH

Practice address

35888 Center Ridge Rd
Suite 5
North Ridgeville, OH 44039-3086

Phone

(440) 327-1800

Fax

(440) 327-1533

NPI assigned

Jun 30, 2006

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 OH

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

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kenneth a Deluca PHD and Associates IncGroup PAC ID 2860469160, 15 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.

• Kenneth a. de Luca,PH.D. & Associates, Inc.

  • Psychologist
  • North Ridgeville, OH
  • NPI 1821018698
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780612432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35888 CENTER RIDGE RD",
            "address_2": "SUITE 5",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393086",
            "telephone_number": "440-327-1800",
            "fax_number": "440-327-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35888 CENTER RIDGE RD",
            "address_2": "SUITE 5",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393086",
            "telephone_number": "440-327-1800",
            "fax_number": "440-327-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLBA",
        "first_name": "TIMOTHY",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0000195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Gaspar, LPN
• Antonia Gates
• Matthew Gerstacker, PH.D,
• Liesl L Glover, PH.D.
• Stephanie A Godin, RN
• Maridali Gonzalez
• Kathy M Green, L.P.N
• Deborah Greeney, P.T.
• Cynthia Griebeler
• Ankur Ajay Gupta, D.D.S.

• Clinical Social Worker in North Ridgeville, OH
• Providers in North Ridgeville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.