MR. TIMOTHY P PICKERRELL LCSW-I
NPI 1710492913
Social Worker - Clinical in Daytona Beach, FL

Active since December 11, 2017
133 INTEGRA BREEZE LN UNIT 104, DAYTONA BEACH, FL 32117(270) 401-6905 Get Directions Write a Review

NPPES record last updated: December 11, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Timothy P Pickerrell Lcsw-i NPPES

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

MR. TIMOTHY P PICKERRELL LCSW-I (NPI 1710492913) is an individual clinical provider in Daytona Beach, Florida and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1710492913
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. TIMOTHY P PICKERRELLCredential: LCSW-I
Location Address133 INTEGRA BREEZE LN UNIT 104Daytona Beach, FL 32117-5584
Mailing Address133 Integra Breeze Ln Unit 104Daytona Beach, FL 32117-5584
Sole ProprietorYes
Enumeration DateDecember 11, 2017
NPI 1710492913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
133 INTEGRA BREEZE LN UNIT 104, Daytona Beach, FL 32117

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Timothy Pickerrell's NPI number?

The NPI number for Timothy Pickerrell is 1710492913. It was assigned to this individual provider in the NPPES registry on December 11, 2017.

Where is Timothy Pickerrell located?

Timothy Pickerrell practices at 133 Integra Breeze Ln Unit 104, Daytona Beach, FL 32117. The listed phone number is (270) 401-6905.

What is Timothy Pickerrell'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 Timothy Pickerrell was last updated on December 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.