Individual provider Active NPI

Timi Storms, LCSW

  • Clinical Social Worker
  • Palm Springs, FL
National Provider Identifier
1962637884
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20802 Issued in FL
Practice address
304 Davis Rd
Palm Springs, FL 33461-1905
Phone
(561) 762-2187
Fax
(561) 429-4010
NPI assigned
May 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA35964 FL
Clinical Social Worker 1041C0700X 20802 FL Primary

Addresses

Primary practice location

304 Davis Rd
Palm Springs, FL 33461-1905

Mailing address

304 Davis Rd
Palm Springs, FL 33461-1905
Phone (561) 762-2187

Other practice location 1

537 US Highway 1 Ste 2
North Palm Beach, FL 33408-4903
Phone (561) 762-2187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20240215002784 FL Practitioner - Clinical Social Worker 1850735077 Practice locations: Greenacres, FL; North Palm Beach, FL; Palm Springs, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20802FLMDClinical Social Worker
MA35964FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kim Jeluso LCSW Clinical PastSince Apr 24, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1962637884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 DAVIS RD",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334611905",
            "telephone_number": "561-762-2187",
            "fax_number": "561-642-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 DAVIS RD",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334611905",
            "telephone_number": "561-762-2187",
            "fax_number": "561-429-4010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "537 US Highway 1 Ste 2",
            "address_purpose": "LOCATION",
            "city": "North Palm Beach",
            "state": "FL",
            "postal_code": "334084903",
            "country_code": "US",
            "telephone_number": "561-762-2187",
            "fax_number": "561-429-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STORMS",
        "first_name": "TIMI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA35964",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "20802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.