Active NPI
Timothy Wiley
- Social Worker
- King of Prussia, PA
National Provider Identifier
1790513141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW141507
- Practice address
- 255 Holly Dr
King of Prussia, PA 19406-2555 - Phone
- (610) 733-3578
- NPI assigned
- Jul 25, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW141507 | PA | Primary |
Addresses
Primary practice location
255 Holly Dr
King of Prussia, PA 19406-2555
Mailing address
255 Holly Dr
King of Prussia, PA 19406-2555
Other practice location 1
401 S 2nd St
Philadelphia, PA 19147-1612
Phone (215) 732-8244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW141507 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philadelphia School of Psychoanalysis | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Philadelphia, PA
- NPI 1922162130
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1790513141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 HOLLY DR",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194062555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 HOLLY DR",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194062555",
"telephone_number": "610-733-3578"
}
],
"practiceLocations": [
{
"address_1": "401 S 2nd St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191471612",
"country_code": "US",
"telephone_number": "215-732-8244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILEY",
"first_name": "TIMOTHY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-25",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW141507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.