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

Mr. Timothy P Pickerrell, LCSW-I

Individual provider Clinical Social Worker · NPI 1710492913

Mr. Timothy P Pickerrell, LCSW-I is a Clinical Social Worker in Daytona Beach, Florida. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

133 Integra Breeze Ln Unit 104
Daytona Beach, FL 32117-5584
Phone: (270) 401-6905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1710492913
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-I
Sole proprietorYes
NPI enumeratedDecember 11, 2017
Last updated in NPPESDecember 11, 2017
Mailing address133 Integra Breeze Ln Unit 104, Daytona Beach, FL 32117-5584

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