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

Timothy Durham, LISW-S

Individual provider Clinical Social Worker · NPI 1134644016

Timothy Durham, LISW-S is a Clinical Social Worker in Granville, Ohio. Qualified in 1997, 29 years ago. Practices with Mid-Ohio Counseling, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
29
Licensed in
OH
In the registry since
2017
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

905 River Rd
Granville, OH 43023-9560
Phone: (740) 507-6707
Fax: (740) 739-2906
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I-000862-S (OH)

Record details

NPI number1134644016
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW-S
Sole proprietorNo
NPI enumeratedAugust 11, 2017
Last updated in NPPESAugust 11, 2017
Mailing address44 Shady Ln, Granville, OH 43023-9281

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Mid-Ohio Counseling, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Granville