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

Mr. Timothy Maxwell Liles, SWT, CDCA, QMHS, CMS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1376062992

Mr. Timothy Maxwell Liles, SWT, CDCA, QMHS, CMS is a Clinical Social Worker in Portsmouth, Ohio. Qualified in 2018, 8 years ago. Practices with Cardinal Treatment Centers Inc, a 5-clinician group and works from 5 locations. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

519 Court St
Portsmouth, OH 45662-3933
Phone: (740) 876-4370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 411 Court St, Portsmouth, OH 45662 — (740) 354-6685
  • 1514 6th St, Portsmouth, OH 45662-4406 — (740) 876-4370
  • 2828 Gallia St, Portsmouth, OH 45662-4809 — (740) 876-4370
  • 542 6th Street, Portsmouth, OH 45662 — (740) 876-4370

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence S.1802660 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LICDC.161932 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCDC.161605 (OH)

Record details

NPI number1376062992
Entity typeIndividual (Type 1)
GenderMale
Credentials SWT , CDCA , QMHS , CMS
Sole proprietorYes
NPI enumeratedSeptember 14, 2017
Last updated in NPPESAugust 5, 2024
Certification dateJuly 29, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Cardinal Treatment Centers Inc — 5 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Portsmouth