Individual provider Active NPI

Timothy Michael Baynes Jr., LCSW

  • Clinical Social Worker
  • Plainfield, IL
National Provider Identifier
1982397527
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149021543 Issued in IL
Practice address
13554 S Kalamazoo CT
Plainfield, IL 60544-7048
Phone
(847) 828-1678
NPI assigned
May 30, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149021543 IL Primary

Addresses

Primary practice location

13554 S Kalamazoo CT
Plainfield, IL 60544-7048

Mailing address

13554 S Kalamazoo CT
Plainfield, IL 60544-7048
Phone (847) 828-1678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20230913003532 IL Practitioner - Clinical Social Worker 4981068665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tim Baynes, LCSW PLLC Clinical CurrentSince May 11, 2025 Accepting new patients
Good Therapy LLC Clinical CurrentSince Aug 1, 2023 Accepting new patients

Locations

650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040

2132 Deep Water Ln
Ste 212B
Naperville, IL 60564
Phone (630) 473-3971

1250 N Mill St
Ste 101
Naperville, IL 60563
Phone (630) 473-3971

Organizations & group practices 2

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1982397527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13554 S KALAMAZOO CT",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605447048",
            "telephone_number": "847-828-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13554 S KALAMAZOO CT",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605447048",
            "telephone_number": "847-828-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYNES",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.