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

Timothy L Koberlein, LCSW

Individual provider Clinical Social Worker · NPI 1235551011

Timothy L Koberlein, LCSW is a Clinical Social Worker in Ontario, Oregon. Qualified in 2010, 16 years ago. Practices with Lifeways Inc, a 17-clinician group and accepts Medicare assignment. Licensed in Idaho and Oregon.

Years since qualifying
16
Licensed in
ID, OR
In the registry since
2014
Specialties on file
2
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

702 Sunset Dr
Ontario, OR 97914-3121
Phone: (541) 889-9167
Fax: (541) 889-7873
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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 L6076 (OR)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW-33359 (ID)

Record details

NPI number1235551011
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 13, 2014
Last updated in NPPESMay 14, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Lifeways Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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