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

Timothy Richard Gregory, LCSW

Individual provider Clinical Social Worker · NPI 1083623177

Timothy Richard Gregory, LCSW is a Clinical Social Worker in Port Jervis, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
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

56 Frnt ST
Port Jervis, NY 12771-2415
Phone: (845) 858-3253
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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 R043053 (NY)

Record details

NPI number1083623177
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 7, 2006
Last updated in NPPESJuly 8, 2007

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