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

Timothy John Pegman, LBSW

Individual provider Social Worker · NPI 1619360278

Timothy John Pegman, LBSW is a Social Worker in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015
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Practice location Address checks out

320 Commerce Ave SW
Grand Rapids, MI 49503-4101
Phone: (616) 222-4570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6802085817 (MI)

Record details

NPI number1619360278
Entity typeIndividual (Type 1)
GenderMale
Credentials LBSW
Sole proprietorYes
NPI enumeratedMarch 6, 2015
Last updated in NPPESMarch 6, 2015

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