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

Mr. Timothy Slattery, LCSW

Individual provider Clinical Social Worker · NPI 1902121999

Mr. Timothy Slattery, LCSW is a Clinical Social Worker in Fort Myers, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2010
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

12734 Kenwood Ln Ste 79
Fort Myers, FL 33907-5638
Phone: (239) 970-4911
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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 · Licence SW21991 (FL)

Record details

NPI number1902121999
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 1, 2010
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025

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