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

Timothy Johnston, LSW

Individual provider Clinical Social Worker · NPI 1568183762

Timothy Johnston, LSW is a Clinical Social Worker in Ithaca, New York. Works from 2 locations. Licensed in New York and Pennsylvania.

Licensed in
NY, PA
In the registry since
2022
Specialties on file
2
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

950 Danby Rd Ste 202F
Ithaca, NY 14850-5714
Phone: (607) 260-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2023 Cato Ave Ste 101, State College, PA 16801-2765 — (814) 308-8375

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 118929 (NY)
Social Worker Taxonomy 104100000X · Licence SW139720 (PA)

Record details

NPI number1568183762
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorNo
NPI enumeratedSeptember 6, 2022
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing address950 Danby Rd Ste 202f, Ithaca, NY 14850-5714

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