Individual provider · Type 1 NPI

Theresa Timberlake, LSW

Clinical Social Worker · Dayton, OH

NPI number 1073105045 Active

Practice location

7031 Corporate Way Ste 103
Dayton, OH 45459-4262

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XS.2004668 (OH)
Social Worker 104100000XS.2004668 (OH)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1073105045

Theresa Timberlake, LSW's National Provider Identifier is 1073105045, issued on Feb 10, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dayton, OH. The record was last updated on Feb 11, 2021.