THEODORE WILLIAM TIMMEL LCSW
NPI 1619308905
Social Worker - Clinical in Sandy Hook, CT
About Theodore William Timmel Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THEODORE WILLIAM TIMMEL LCSW (NPI 1619308905) is an individual clinical provider in Sandy Hook, Connecticut, licensed in Connecticut (007462) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Theodore William Timmel Lcsw 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.
Medicare Billing Reassignments
2Medicare enrollment records show Theodore Timmel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sandy Hook, CT 06482
- Reassigned Medicare billing, Connecticut enrollment
Danbury, CT 06810
- Reassigned Medicare billing, Connecticut enrollment
- 818 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06482 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANDY HOOK, CT 06482
SANDY HOOK, CT 06482
SANDY HOOK, CT 06482
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 Theodore Timmel's NPI number?
The NPI number for Theodore Timmel is 1619308905. It was assigned to this individual provider in the NPPES registry on December 11, 2013.
Where is Theodore Timmel located?
Theodore Timmel practices at 107 Church Hill Rd Suite 1, Sandy Hook, CT 06482. The listed phone number is (103) 313-3986.
What is Theodore Timmel's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Theodore Timmel enrolled in Medicare?
Yes. Theodore Timmel 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.
Which organizations bill Medicare for Theodore Timmel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Timmel reassigns Medicare benefits to 2 organizations: Tw Timmel LLC (Sandy Hook, CT) and Nuvance Health Medical Practice Ct, Inc. (Danbury, CT). 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 Theodore Timmel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theodore Timmel accept?
Health plans from Anthem Blue Cross and Blue Shield list Theodore Timmel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Theodore Timmel was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Theodore William Timmel, LCSW · NPI 1619308905
Clinical provider in Sandy Hook, Connecticut. Individual provider, active in the CMS NPPES registry since December 11, 2013.
## Identity
- **NPI:** 1619308905 (Entity type: Individual)
- **Enumerated:** December 11, 2013
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 007462 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 107 CHURCH HILL RD, SUITE 1, Sandy Hook, CT 06482-1194
- **Phone:** (103) 313-3986 · **Fax:** (203) 426-8947
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Tw Timmel LLC (NPI 1265989644, Sandy Hook, CT); Nuvance Health Medical Practice Ct, Inc. (NPI 1407898117, Danbury, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** June 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619308905) · Data from the CMS NPPES public registry.