Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Timothy Forrest Perry, MSSWLCSWLMFT

Individual provider Social Worker · NPI 1932137791

Mr. Timothy Forrest Perry, MSSWLCSWLMFT is a Clinical Social Worker in Janesville, Wisconsin. Qualified in 1989, 37 years ago. Practices with Trivium LLC, a 12-clinician group and offers telehealth. Licensed in Wisconsin.

Years since qualifying
37
Licensed in
WI
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

17 S Riv Ste 254
Janesville, WI 53548
Phone: (608) 755-5260
Fax: (608) 755-5267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LMFT301 (WI)
Social Worker Taxonomy 104100000X · Licence LCSW2467 (WI)

Record details

NPI number1932137791
Entity typeIndividual (Type 1)
GenderMale
Credentials MSSWLCSWLMFT
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Trivium Llc — 12 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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