| Timothy Durham, LISW-S | |
|
905 River Rd, Granville, OH 43023-9560 | |
| (740) 507-6707 | |
| (740) 739-2906 |
| Full Name | Timothy Durham |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 28 Years |
| Location | 905 River Rd, Granville, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134644016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-000862-S (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-ohio Counseling, Llc | 9638235492 | 2 |
| Entity Name | Mid-ohio Counseling, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700022639 PECOS PAC ID: 9638235492 Enrollment ID: O20090303000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Durham, LISW-S 44 Shady Ln, Granville, OH 43023-9281 Ph: (740) 739-2903 | Timothy Durham, LISW-S 905 River Rd, Granville, OH 43023-9560 Ph: (740) 507-6707 |
Amena Michelle Feasel, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 905 River Rd Ste A, Granville, OH 43023 Phone: 740-587-2822 | |
Ms. Laura Darlene Compton, MSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 935 River Rd, Suite E, Granville, OH 43023 Phone: 740-644-7948 | |
Karen S Cowie, LISW-S, LICDC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 905 River Rd Ste B, Granville, OH 43023 Phone: 740-507-6707 Fax: 740-920-4244 | |
Caitlyn Thella Smith Elkins, MSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 594 Newark Granville Rd, Granville, OH 43023 Phone: 740-618-2322 Fax: 740-618-2324 | |
Mr. Christopher Michael Eley, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 550 Chapel Dr, Granville, OH 43023 Phone: 740-587-6200 Fax: 614-366-9489 | |
Ms. Rebecca Joy Ramsay, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2673 Canyon Rd, Granville, OH 43023 Phone: 740-814-0934 |