Timothy Crosby, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

58.012131 Issued in CT

Practice address

117A Route 66 E
Columbia, CT 06237-1164

Phone

(860) 377-6970

NPI assigned

May 15, 2023

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 CT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Seeds of Healing Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Vernon, CT
  • NPI 1407542178
  NPD (past)

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685836800000",
    "number": "1922799733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117A ROUTE 66 E",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "062371164",
            "telephone_number": "860-377-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117A ROUTE 66 E",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "062371164",
            "telephone_number": "860-377-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "TIMOTHY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-06-04",
        "certification_date": "2023-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.012131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R Bucklin, RPT
• Paloma Ferreira Castro, LMSW
• Columbia Board of Education
• Columbia Volunteer Fire Department, Incorporated
• Brandy Lee Craig, PSY.D.
• Crossroads Physical Therapy LLC
• Jennifer Daniels, M.A, CCC-SLP
• Anne E Doherty, RPT
• Tina Duvall, MSW
• Margaret Moffitt Earnest, PHD, CCC-SLP

• All providers in Columbia, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.