| Tw Timmel Llc | |
|
107 Church Hill Rd. Suite 1 Sandy Hook CT 06482-1194 | |
| (203) 313-3986 | |
| (203) 426-8947 |
| Full Name | Tw Timmel Llc |
|---|---|
| Speciality | Social Worker |
| Location | 107 Church Hill Rd., Sandy Hook, Connecticut |
| Authorized Official Name and Position | Theodore William Timmel (CLINICIAN) |
| Authorized Official Contact | 2033133986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tw Timmel Llc 7 Bristle Lane Sandy Hook CT 06482-1476 Ph: (203) 313-3986 | Tw Timmel Llc 107 Church Hill Rd. Suite 1 Sandy Hook CT 06482-1194 Ph: (203) 313-3986 |
| NPI Number | 1265989644 |
|---|---|
| Provider Enumeration Date | 09/02/2016 |
| Last Update Date | 06/11/2024 |
| Medicare PECOS PAC ID | 3779870241 |
|---|---|
| Medicare Enrollment ID | O20160927001885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265989644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 007462 (Connecticut) | Primary |
| Provider Name | Theodore W Timmel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619308905 PECOS PAC ID: 6901118306 Enrollment ID: I20150626000793 |
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