MEDICARE: TIMOTHY JOHN SIGLER LICSWA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker
2	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174271811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY JOHN SIGLER LICSWA

Provider Business Mailing Address
First Line	:	2001 N DIVISION ST STE 130
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99207-2280
Country	:	US
Telephone Number	:	509-242-3405
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 N DIVISION ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99207-2280
Country	:	US
Telephone Number	:	509-242-3405
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2022
Last Update Date	:	07/03/2025

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Directions to “ TIMOTHY JOHN SIGLER LICSWA” Practice Location

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