EVAN TIMBERLAKE LCSW-C
NPI 1245989136
Social Worker - Clinical in Damascus, MD

Active since March 20, 2022PECOS EnrolledAccepts Medicare Assignment
10142 KINGS GROVE WAY, DAMASCUS, MD 20872(207) 807-2043 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evan Timberlake Lcsw-c NPPES

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

EVAN TIMBERLAKE LCSW-C (NPI 1245989136) is an individual clinical provider in Damascus, Maryland, licensed in Maryland (24145) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1245989136
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameEVAN TIMBERLAKECredential: LCSW-C
Location Address10142 KINGS GROVE WAYDamascus, MD 20872-1737
Mailing Address10142 Kings Grove WayDamascus, MD 20872-1737 · (207) 807-2043
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 20, 2022
Last NPPES UpdateSeptember 2, 2025
NPPES CertifiedSeptember 2, 2025
NPI 1245989136 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 MD · 24145
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.
10142 KINGS GROVE WAY, Damascus, MD 20872

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Evan Timberlake Lcsw-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820537160
PECOS Enrollment IDI20240829003582
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20872 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
10142 KINGS GROVE WAY
DAMASCUS, MD 20872
Counselor (Professional)
10142 KINGS GROVE WAY
DAMASCUS, MD 20872

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 Evan Timberlake's NPI number?

The NPI number for Evan Timberlake is 1245989136. It was assigned to this individual provider in the NPPES registry on March 20, 2022.

Where is Evan Timberlake located?

Evan Timberlake practices at 10142 Kings Grove Way, Damascus, MD 20872. The listed phone number is (207) 807-2043.

What is Evan Timberlake's specialty?

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

Is Evan Timberlake enrolled in Medicare?

Yes. Evan Timberlake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Evan Timberlake was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.