Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RAVEN TIMMINS LSW
NPI 1558296434
Social Worker - Clinical in New York, NY

Active since June 15, 2026
1412 BROADWAY STE 2125, NEW YORK, NY 10018(646) 397-0624 Get Directions Write a Review

NPPES record added: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Raven Timmins Lsw NPPES

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

RAVEN TIMMINS LSW (NPI 1558296434) is an individual clinical provider in New York, New York and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1558296434
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameRAVEN TIMMINSCredential: LSW
Location Address1412 BROADWAY STE 2125New York, NY 10018-9228
Mailing Address210 W 31st StSavannah, GA 31401-7211
Sole ProprietorNo
Enumeration DateJune 15, 2026
NPPES CertifiedJune 14, 2026
NPI 1558296434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedSocial WorkerTaxonomy 104100000X
1412 BROADWAY STE 2125, New York, NY 10018

Other Providers at the Same Location NPPES 6

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

Social Worker
1412 BROADWAY STE 2125
NEW YORK, NY 10018
Social Worker
1412 BROADWAY STE 2125
NEW YORK, NY 10018
Social Worker (Clinical)
1412 BROADWAY STE 2125
NEW YORK, NY 10018
Counselor (Mental Health)
1412 BROADWAY STE 2125
NEW YORK, NY 10018
Counselor (Mental Health)
1412 BROADWAY STE 2125
NEW YORK, NY 10018
Counselor (Mental Health)
1412 BROADWAY STE 2125
NEW YORK, NY 10018

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 Raven Timmins's NPI number?

The NPI number for Raven Timmins is 1558296434. It was assigned to this individual provider in the NPPES registry on June 15, 2026.

Where is Raven Timmins located?

Raven Timmins practices at 1412 Broadway Ste 2125, New York, NY 10018. The listed phone number is (646) 397-0624.

What is Raven Timmins'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 Raven Timmins was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.