Mr Timoteo Dario Yepes, LICSW in Lacey, WA - Medicare Social Worker Provider

Mr Timoteo Dario Yepes, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Lacey, Washington. His current practice location is 1110 Golf Club Rd Se Ste 101, Lacey, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 679-0531.

Mr Timoteo Dario Yepes is licensed to practice in Washington (license number LW 60022341) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184949786.

Contact Information

	Mr Timoteo Dario Yepes, LICSW
	1110 Golf Club Rd Se Ste 101, Lacey, WA 98503-2302
	(206) 679-0531
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Timoteo Dario Yepes
Gender	Male
Speciality	Social Worker - Clinical
Location	1110 Golf Club Rd Se Ste 101, Lacey, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184949786
Provider Enumeration Date: 04/07/2010
Last Update Date: 03/17/2025

Medicare PECOS Information:

PECOS PAC ID: 6204354913
Enrollment ID: I20250516001373

Medical Identifiers

Medical identifiers for Mr Timoteo Dario Yepes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184949786	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW 60022341 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Timoteo Dario Yepes allows following entities to bill medicare on his behalf.

Entity Name	Coram Deo Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598591497 PECOS PAC ID: 5395263008 Enrollment ID: O20250516001294

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Timoteo Dario Yepes is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Timoteo Dario Yepes, LICSW 430 Se Gosnell Ln, Shelton, WA 98584-8384 Ph: (206) 679-0531	Mr Timoteo Dario Yepes, LICSW 1110 Golf Club Rd Se Ste 101, Lacey, WA 98503-2302 Ph: (206) 679-0531

Reviews and Comments

Social Worker in Lacey, WA

Jaylin Lucas, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3020 Willamette Dr Ne, Lacey, WA 98516 Phone: 360-493-7469
Mollie A Rundstrom, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4160 6th Ave Se, Lacey, WA 98503 Phone: 360-259-7179
Kristina Noel Callender, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 677 Woodland Square Loop Se Unit A-16, Lacey, WA 98503 Phone: 360-999-8467
Serina Olivares, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4232 6th Ave Se Ste 101, Lacey, WA 98503 Phone: 206-484-2216
Ms. Christine Mcmahon, LCSW; LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7031 Mullen Rd Se, Lacey, WA 98503 Phone: 516-312-9939
Penelope Nancy Lynn Pavlinovic, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 677 Woodland Square Loop Se, Lacey, WA 98503 Phone: 206-979-4005
Sejahdah Brianna Brimmer, LSWAIC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 719 Sleater Kinney Rd Se, Lacey, WA 98503 Phone: 360-528-0035

Mr Timoteo Dario Yepes, LICSW - Medicare Clinical Social Worker in Lacey, WA