THEODORE WILLIAM TIMMEL LCSW
NPI 1619308905
Social Worker - Clinical in Sandy Hook, CT

Active since December 11, 2013PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
107 CHURCH HILL RD, SUITE 1, SANDY HOOK, CT 06482(103) 313-3986(203) 426-8947 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1619308905
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTHEODORE WILLIAM TIMMELCredential: LCSW
Location Address107 CHURCH HILL RD, SUITE 1Sandy Hook, CT 06482-1194
Mailing Address7 Bristle LaneSandy Hook, CT 06482-1476 · (203) 313-3986 · Fax (203) 426-8947
Fax(203) 426-8947
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 11, 2013
Last NPPES UpdateJune 11, 2024
NPI 1619308905 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 CT · 007462
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.
107 CHURCH HILL RD, Sandy Hook, CT 06482

Accepted Insurance

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

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.

PECOS PAC ID6901118306
PECOS Enrollment IDI20150626000793
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.

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.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
175 services11 patients

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.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
107 CHURCH HILL RD
SANDY HOOK, CT 06482
Counselor (Professional)
107 CHURCH HILL RD
SANDY HOOK, CT 06482
Counselor (Professional)
107 CHURCH HILL RD
SANDY HOOK, CT 06482
Durable Medical Equipment & Medical Supplies (Customized Equipment)
107 CHURCH HILL RD, 2 E
SANDY HOOK, CT 06482
Pediatrics (Pediatric Cardiology)
107 CHURCH HILL RD, SUITE 1A
SANDY HOOK, CT 06482
Social Worker (Clinical)
107 CHURCH HILL RD
SANDY HOOK, CT 06482
Pediatrics (Pediatric Cardiology)
107 CHURCH HILL RD, SUITE 1A
SANDY HOOK, CT 06482
Counselor (Professional)
107 CHURCH HILL RD, SUITE 1
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.

What insurance does Theodore Timmel accept?

Health plans from Providence Health Plan 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.