TIMOTHY RICHARD GREGORY LCSW
NPI 1083623177
Social Worker - Clinical in Port Jervis, NY

Active since August 07, 2006
56 FRONT ST, PORT JERVIS, NY 12771(845) 858-3253 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy Richard Gregory Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY RICHARD GREGORY LCSW (NPI 1083623177) is an individual clinical provider in Port Jervis, New York, licensed in New York (R043053) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1083623177
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTIMOTHY RICHARD GREGORYCredential: LCSW
Location Address56 FRONT STPort Jervis, NY 12771-2415
Mailing AddressPo Box 3159Port Jervis, NY 12771-0257
Sole ProprietorYes
Enumeration DateAugust 7, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1083623177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · R043053
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
56 FRONT ST, Port Jervis, NY 12771

Other Identifiers 13

Other1032020Affinity Health Plan
Other164055Valueoptions
OtherN63253Empire Blue Cross/shield
Other1032020Hudson Health Plan
OtherYS112Oxford Health Plans
Other1032020Beacon Health Strategies
Other475049000Magellen
OtherN63252Empire Blue Cross/shield
Medicare ID-Type UnspecifiedN63251
OtherN63252Blue Cross Blue Shield
OtherN63253Blue Cross Blue Shield
Other0007782292Aetna
Other7406375003Ghi

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Gregory's NPI number?

The NPI number for Timothy Gregory is 1083623177. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Timothy Gregory located?

Timothy Gregory practices at 56 Front St, Port Jervis, NY 12771. The listed phone number is (845) 858-3253.

What is Timothy Gregory's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Timothy Gregory was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.