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NPI Code Detail

MEDICARE: TIMOTHY OAKS LCSW

MEDICARE:   TIMOTHY  OAKS  LCSW
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
11041C0700XClinical Social Worker229147MA

General Provider Information

NPI Number : 1699986414
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY OAKS LCSW
Provider Business Mailing Address
First Line : 33 BRIGHT ST APT 1
Second Line :
City : NORTHAMPTON
State : MA
Zip : 01060-2251
Country : US
Telephone Number : 413-268-4333
Fax Number :
Provider Business Practice Location Address
First Line : 4 BAY RD STE 101
Second Line :
City : HADLEY
State : MA
Zip : 01035-9569
Country : US
Telephone Number : 413-200-8024
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 06/10/2025

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Directions to “ TIMOTHY OAKS LCSW” Practice Location

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