National Provider Identifier
Timothy Johnston, LSW
Timothy Johnston, LSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 260-3100.
Profile Overview
- NPI
- 1568183762
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- September 06, 2022
- Last Updated
- August 18, 2023
Practice Location
- 950 Danby RD Ste 202F
- Ithaca, NY 14850-5714
Phone: (607) 260-3100
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1568183762
- Entity Type
- Individual
- Last Name
- Johnston
- First Name
- Timothy
- Credential
- LSW
- Mailing Street Address
- 950 Danby RD Ste 202F
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5714
- Mailing Country
- US
- Mailing Phone
- (072) 603-1006
- Mailing Fax
- (607) 241-9972
- Practice Street Address
- 950 Danby RD Ste 202F
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5714
- Practice Country
- US
- Practice Phone
- (607) 260-3100
- Enumeration Date
- September 06, 2022
- Last Updated
- August 18, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 18, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)