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

Active since March 20, 2022PECOS Enrolled
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: October 25, 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.

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
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Timberlake Lcsw-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Evan Timberlake reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Public Health, State or Local
12900 MIDDLEBROOK RD STE 24
Germantown, MD 20874
  • Reassigned Medicare billing, District of Columbia enrollment
  • 74 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
1400 SPRING ST STE 100
Silver Spring, MD 20910
  • Reassigned Medicare billing, District of Columbia enrollment
  • 13 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,424 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 enrollment system.

Which organizations bill Medicare for Evan Timberlake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Timberlake reassigns Medicare benefits to 3 organizations: Montgomery County Maryland Government (Germantown, MD), Affiliated Sante Group (Silver Spring, MD) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Evan Timberlake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 13 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.