Timothy E Raymond, BA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60820118 Issued in WA

Practice address

6060 Portal Way
Ferndale, WA 98248-7833

Phone

(360) 676-6177

Fax

(360) 371-3574

NPI assigned

Dec 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts

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.

• Sunrise Services, Inc.

  • Community/Behavioral Health Agency
  • Everett, WA
  • NPI 1013092550
  NPD (past)

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1972785749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N BROADWAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011405",
            "telephone_number": "425-493-5800",
            "fax_number": "425-493-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 PORTAL WAY",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982487833",
            "telephone_number": "360-676-6177",
            "fax_number": "360-371-3574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 Madison St",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982034543",
            "country_code": "US",
            "telephone_number": "425-347-3149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1616 Cornwall Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982254642",
            "country_code": "US",
            "telephone_number": "360-676-6177",
            "fax_number": "360-671-3574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "TIMOTHY",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60820118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khore D Phoenix, BS, LMP
• Micahlyn Marie Powers, MD
• Emilynda V Quinones, D.D.S.
• Jared Rahn, OD
• Cheryl Renee Rau, MA, LMHCA
• Alexandr Razner
• Lauren Reimer
• Alejandro Rey, MD
• Sarah Rich, LAMFT
• Faith Richardson, FNP

• Clinical Social Worker in Ferndale, WA
• Providers in Ferndale, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.