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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIMOTHY LEE CAMMACK, LICSW

Active

TIMOTHY LEE CAMMACK, LICSW is a Clinical Social Worker healthcare provider located in GOLDEN VALLEY, Minnesota. NPI 1972554111 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · GOLDEN VALLEY, MN

Registration Details

NPI Number
1972554111
Provider Type
Individual
Gender
Male
NPI Issued
May 12, 2006 (20.220288392211 yrs)
Last Updated
Jul 8, 2007
License
06687 (MN)

Practice Information

Address
3915 GOLDEN VALLEY ROAD
COURAGE CENTER
GOLDEN VALLEY, MN, 554224298
Browse MN providers · Browse ZIP 55422
Phone
7635200645
Fax
7635200355
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in GOLDEN VALLEY, MN

Name Credential NPI
KAREN M LESLIE LICSW 1306839170
MR. DANIEL F FLYNN MSW 1437146727
MR. ROBERT JOSEPH DONNELLY M.S.W. 1265412431
WILLILAM F. HOLLAND LICSW 1629046891
JODI LYNN GREENSTEIN LICSW 1669421673
ANN LAURIE WOODRUFF LICSW 1578512588
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.