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

Individual provider Clinical Social Worker · NPI 1790038008

Timothy Gordon Runk, LICSW is a Clinical Social Worker in Dover, New Hampshire. Qualified in 1996, 30 years ago. Practices with The Counseling Center of Nashua Inc, a 240-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Hampshire.

Years since qualifying
30
Licensed in
NH
In the registry since
2012
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

16 Fifth St
Dover, NH 03820-2950
Phone: (603) 749-4462
Fax: (603) 749-2475
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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 1255 (NH)

Record details

NPI number1790038008
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 24, 2012
Last updated in NPPESOctober 24, 2012

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice The Counseling Center Of Nashua Inc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Dover