Timothylcsw LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TIMOTHYLCSW LLC

Practice address

7914 E 106TH St Ste 205
Tulsa, OK 74133-6802

Phone

(918) 947-9560

NPI assigned

Oct 27, 2022

Last updated

Oct 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Dearhamer, LCSWNPI 1316492382

Title

Owner/Therapist

Phone

(918) 947-9560

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Dearhamer

  • Social Worker
  • Owasso, OK
  • NPI 1316492382
  NPD Authorized official

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1861109027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7914 E 106TH ST STE 205",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336802",
            "telephone_number": "918-947-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7914 E 106TH ST STE 205",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336802",
            "telephone_number": "918-947-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHYLCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "DEARHAMER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "918-947-9560",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200790040A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Micah Jo Timmons
• Brian M Timms, MSW
• Timothy B. Maclin
• Timothy E. Moore, DDS, Ms, PC
• Timothy Richard Mills
• Tina Francis Counseling, LLC
• Allison Brooks Tindall
• Tailynn Tindall, LCSW
• Candy Ngiam Ting, D.O.
• Heidrun Tingey, CNS

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.