MEDICARE: TIMI STORMS 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
1	225700000X	Massage Therapist	MA35964	FL
2	1041C0700X	Clinical Social Worker	20802	FL

General Provider Information

NPI Number	:	1962637884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMI STORMS LCSW

Provider Business Mailing Address
First Line	:	304 DAVIS RD
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-1905
Country	:	US
Telephone Number	:	561-762-2187
Fax Number	:	561-642-0397

Provider Business Practice Location Address
First Line	:	304 DAVIS RD
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-1905
Country	:	US
Telephone Number	:	561-762-2187
Fax Number	:	561-429-4010

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

Provider Enumeration Date	:	05/20/2009
Last Update Date	:	12/05/2023

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Directions to “ TIMI STORMS LCSW” Practice Location

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