MR. TIMOTHY P PICKERRELL


Address: 133 Integra Breeze Ln Unit 104, Daytona Beach, FL 32117-5584
Phone: 2704016905

MR. TIMOTHY P PICKERRELL (NPI# 1710492913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710492913
Entity Type Individual
Full Name MR. TIMOTHY P PICKERRELL
Credential LCSW-I
Practice Address 133 Integra Breeze Ln Unit 104
Daytona Beach
FL 32117-5584
Practice Telephone 2704016905
Enumeration Date 2017-12-11
Last Update Date 2017-12-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers

Office Location

Street Address 133 INTEGRA BREEZE LN UNIT 104
City DAYTONA BEACH
State FL
Zip Code 32117-5584

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NPI Name Taxonomy Address Enumeration
1992350409 Erin Selfridge Pharmacist 1500 Beville Rd #300, Daytona Beach, FL 32117 2019-08-02
1881185494 Wellspring Health, LLC Chiropractor 701 Ridgewood Ave, Holly Hills, FL 32117 2018-05-21
1780172791 L & L Db, LLC Clinic/Center 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 2018-04-25
1154837789 Brittany Nikolow Nurse Practitioner 1717 N. Clyde Morris, Daytona Beach, FL 32117 2017-12-19
1205356946 Alejandro Andre Pabon Rodriguez Nurse Anesthetist, Certified Registered Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 2017-06-23
1316492135 Ann Van Herck Physical Therapist 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 2016-08-22
1952784779 Kathryn Brenna Copley Nurse Practitioner 1890 Lpga Blvd., Daytona Beach, FL 32117 2015-06-30
1053719559 Alicia Graham Case Manager/Care Coordinator 1570 Megan Bay Circle, Holly Hill, FL 32117 2014-12-15
1578974440 Halifax Senior Care Inc Clinic/Center 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 2014-05-14
1013345883 Kist Alf, Inc Assisted Living Facility 1516 Carmen Avenue, Daytona Beach, FL 32117 2013-10-14
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134736259 Bethany Tabetha Stapinski Social Worker 1530 Cornerstone Blvd Ste 100, Daytona Beach, FL 32117-7129 2020-09-24
1265978001 Marcia Williams Social Worker 249 Oak Tree Cir, Daytona Beach, FL 32114-5782 2017-01-18
1538516885 Amanda Nixon Social Worker 444 Seabreeze Blvd, Suite 730, Daytona Beach, FL 32118-3958 2016-05-17
1003288580 Trenton Friar Social Worker 337 Garden St, Daytona Beach, FL 32114 2015-10-23
1164851036 Christina Marie Kunisch Social Worker 1221 Willis Avenue, Daytona Beach, FL 32114-2810 2013-11-01
1427499847 Jennifer Ketring Social Worker 228 S Beach St, Daytona Beach, FL 32114-4404 2013-07-14
1003253402 Karen E Bradt Social Worker 340 S Beach St, Suite 101 3n, Daytona Beach, FL 32114-5079 2013-05-27
1215286323 Laura Sterling Social Worker 325 South Segrave Street, Daytona Beach, FL 32114 2012-09-05
1891003786 Charles Harmon Stewart Social Worker 702 S Ridgewood Ave, Daytona Beach, FL 32114-5332 2010-09-14
1841512357 Mark Spivey Social Worker 300 Georgetowne Blvd, Daytona Beach, FL 32119-8905 2010-02-25
Find all providers in DAYTONA BEACH

Competitor

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City DAYTONA BEACH
Zip Code 32117

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Dataset Information

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.

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