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NPI Code Detail

MEDICARE: TIMOTHY M LLEWELLYN LPCC, LISW

MEDICARE: TIMOTHY M LLEWELLYN LPCC, LISW
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
1101YP2500XProfessional CounselorE1098OH
21041C0700XClinical Social WorkerI3342OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1142131OTHEROHCOMPSYCH BH PIN
27978296OTHEROHAETNA PIN
3Y453948OTHEROHTHE HEALTH PLAN PIN
4212257OTHEROHTRICARE/MHN PIN
5133201OTHEROHMOUNT CARMEL PIN

General Provider Information

NPI Number : 1447228432
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY M LLEWELLYN LPCC, LISW
Provider Business Mailing Address
First Line : 2935 BOGGS RD
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-9175
Country : US
Telephone Number : 740-454-0263
Fax Number :
Provider Business Practice Location Address
First Line : 2845 BELL ST
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-1720
Country : US
Telephone Number : 740-454-9766
Fax Number : 740-588-6452
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 09/11/2025

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