TIMOTHY A THEIN (NPI# 1710125232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710125232 |
| Entity Type | Individual |
| Full Name | TIMOTHY A THEIN |
| Credential | LCSW, CAP |
| Practice Address |
1301 W Eau Gallie Blvd Suite 105 Melbourne FL 32935-5390 |
| Practice Telephone | 3214216992 |
| Practice Fax Number | 3214216993 |
| Mailing Telephone | 3214216992 |
| Mailing Fax Number | 3214216993 |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2014-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW9134 | FL | Behavioral Health & Social Service Providers |
| Street Address |
1301 W EAU GALLIE BLVD SUITE 105 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-5390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801874466 | Eric L Lang | Family Medicine | 1301 W Eau Gallie Blvd, Sluite 112, Melbourne, FL 32935-5390 | 2006-01-04 |
| 1710304720 | Dietrich Mark Browne | Speech-Language Pathologist | 1301 W Eau Gallie Blvd, Suite 105, Melbourne, FL 32935-5390 | 2014-03-27 |
| 1346508132 | Kathryn Kinney | Social Worker | 1301 W Eau Gallie Blvd, Ste 96, Melbourne, FL 32935-5390 | 2012-04-30 |
| 1003198409 | Riverside Counseling Services, LLC | Social Worker | 1301 W Eau Gallie Blvd, Suite 105, Melbourne, FL 32935-5390 | 2011-09-13 |
| 1861770109 | Kristina Jeffries Talbot | Social Worker | 1301 W Eau Gallie Blvd, Suite 105, Melbourne, FL 32935-5390 | 2011-08-03 |
| 1417042490 | Eric L. Lang Do Lc | Family Medicine | 1301 W Eau Gallie Blvd, Suite 112, Melbourne, FL 32935-5390 | 2006-10-04 |
| 1093725558 | E Scott Bell | Dentist | 1301 W Eau Gallie Blvd, Melbourne, FL 32935 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023638335 | Paige Ann Locke | Social Worker | 1016 Spinnaker Way Apt G1, Melbourne, FL 32935-5244 | 2020-04-17 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1134769698 | Progressive Healthcare of Brevard, LLC | Social Worker | 5972 Goleta Cir, Melbourne, FL 32940-8035 | 2020-01-13 |
| 1215588934 | Darlyne Guldi-mula | Social Worker | 3660 Whisperwood Cir, Melbourne, FL 32901-8125 | 2019-09-24 |
| 1851950125 | Irina Fout | Social Worker | 1600 W Eau Gallie Blvd Ste 201i, Melbourne, FL 32935-4149 | 2019-06-11 |
| 1215492178 | Deann Renee Collins | Social Worker | 3661 S Babcock St Ste 115, Melbourne, FL 32901-8205 | 2019-02-05 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1598231706 | Jennifer Lynn Alexander | Social Worker | 1015 Ariel Way, Melbourne, FL 32940-1507 | 2018-10-16 |
| 1700391554 | Stephanie Krenzelok | Social Worker | 21 W Fee Ave Ste G, Melbourne, FL 32901-4476 | 2017-12-01 |
| 1487194817 | Alyssa Buchanan, LLC | Social Worker | 700 N Wickham Rd, 206, Melbourne, FL 32935-8856 | 2017-03-04 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.