TIMOTHY GORDON RUNK LICSW
NPI 1790038008
Social Worker - Clinical in Dover, NH

Active since October 24, 2012PECOS EnrolledAccepts Medicare Assignment
16 FIFTH ST, DOVER, NH 03820(603) 749-4462(603) 749-2475 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy Gordon Runk Licsw NPPES

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

TIMOTHY GORDON RUNK LICSW (NPI 1790038008) is an individual clinical provider in Dover, New Hampshire, licensed in New Hampshire (1255) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1790038008
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTIMOTHY GORDON RUNKCredential: LICSW
Location Address16 FIFTH STDover, NH 03820-2950
Mailing Address16 Fifth StDover, NH 03820-2950 · (603) 749-4462 · Fax (603) 749-2475
Fax(603) 749-2475
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 24, 2012
NPI 1790038008 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 NH · 1255
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.
16 FIFTH ST, Dover, NH 03820

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

Timothy Gordon Runk Licsw 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 ID4789625344
PECOS Enrollment IDI20050513000602
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03820 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 $57.75 – $174.26
Typical copayment $0.00 (range $14.43 – $43.56)
Most-billed visit code NA
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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 17

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

Counselor
16 FIFTH ST
DOVER, NH 03820
Social Worker (Clinical)
16 FIFTH ST
DOVER, NH 03820
Psychologist (Clinical)
16 FIFTH ST
DOVER, NH 03820
Psychiatry & Neurology (Psychiatry)
16 FIFTH ST
DOVER, NH 03820
Psychologist (Clinical)
16 FIFTH ST
DOVER, NH 03820
Counselor (Mental Health)
16 FIFTH ST
DOVER, NH 03820
Counselor (Mental Health)
16 FIFTH ST
DOVER, NH 03820
Counselor (Mental Health)
16 FIFTH ST
DOVER, NH 03820

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 Runk's NPI number?

The NPI number for Timothy Runk is 1790038008. It was assigned to this individual provider in the NPPES registry on October 24, 2012.

Where is Timothy Runk located?

Timothy Runk practices at 16 Fifth St, Dover, NH 03820. The listed phone number is (603) 749-4462.

What is Timothy Runk's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Timothy Runk enrolled in Medicare?

Yes. Timothy Runk 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 Timothy Runk accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Timothy Runk 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 Timothy Runk was last updated on October 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.