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

Mr. Timothy James Peters, LCSW

Individual provider Social Worker · NPI 1770541138

Mr. Timothy James Peters, LCSW is a Social Worker in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2006.

Licensed in
OR, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5200 SW Macadam Ave #580
Portland, OR 97239-3837
Phone: (503) 231-7854
Fax: (503) 231-8153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence L3666 (OR)
Social Worker Taxonomy 104100000X · Licence LW00008136 (WA)

Record details

NPI number1770541138
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESDecember 28, 2021
Certification dateDecember 28, 2021

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