Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TIMOTHY LEE CAMMACK LICSW
NPI 1972554111
Social Worker - Clinical in Golden Valley, MN

Q: What is Timothy Cammack's NPI number?

The NPI number for Timothy Cammack is 1972554111. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Q: What is Timothy Cammack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Timothy Cammack was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 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.

Active since May 12, 2006

3915 GOLDEN VALLEY ROAD, COURAGE CENTER, GOLDEN VALLEY, MN 55422(763) 520-0645(763) 520-0355 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Timothy Lee Cammack Licsw NPPES

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

TIMOTHY LEE CAMMACK LICSW (NPI 1972554111) is an individual clinical provider in Golden Valley, Minnesota, licensed in Minnesota (06687) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1972554111

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameTIMOTHY LEE CAMMACKCredential: LICSW

Location Address3915 GOLDEN VALLEY ROAD, COURAGE CENTERGolden Valley, MN 55422-4298

Mailing Address3915 Golden Valley Road, Courage CenterGolden Valley, MN 55422-4298 · (763) 520-0645 · Fax (763) 520-0355

Phone(763) 520-0645

Fax(763) 520-0355

Sole ProprietorNo

Enumeration DateMay 12, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1972554111 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 MN · 06687

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.

3915 GOLDEN VALLEY ROAD, Golden Valley, MN 55422

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Other Identifiers 5

Other963371012571Preferred One

Other89D34CABcbs Minnesota

Other6236582Medica

Other6236582Ubh

OtherHP23150Health Partners

Other Providers at the Same Location NPPES 20

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

MONICA L MOMMSEN OTRL

Occupational Therapist

3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422

Hennepin County (763) 588-0811

LEE ANN MAE MATEFFY OTR L

Occupational Therapist

3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422

Hennepin County (763) 520-0431

CHRISTA MARIE HASKINS PT

Physical Therapist

3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422

Hennepin County (763) 520-0647

NATHANYAL M JACKLITCH MPT

Physical Therapist

3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422

Hennepin County (763) 520-0867

MELISSA A GILL PT

Physical Therapist

3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422

Hennepin County (763) 588-4798

MARSHA ZUCKERMAN MSSW

Social Worker (Clinical)

3915 GOLDEN VALLEY ROAD, COURAGE CENTER
MINNEAPOLIS, MN 55422

Hennepin County (763) 520-0721

ELIZABETH JUNE CONNELLY PTA

Physical Therapy Assistant

3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422

Hennepin County (763) 520-0709

SHEREEN ESSACK OTR L

Occupational Therapist

3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422

Hennepin County (763) 520-0712

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 Cammack's NPI number?

The NPI number for Timothy Cammack is 1972554111. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Timothy Cammack located?

Timothy Cammack practices at 3915 Golden Valley Road Courage Center, Golden Valley, MN 55422. The listed phone number is (763) 520-0645.

What is Timothy Cammack'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 Cammack was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 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.