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

Timothy Weaver

Individual provider Social Worker · NPI 1730635731

Timothy Weaver is a Clinical Social Worker in Mount Clemens, Michigan. Qualified in 2017, 9 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2016
Specialties on file
2

Practice location Address checks out

2 Crocker Blvd
Mount Clemens, MI 48043-2528
Phone: (810) 305-9649
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Social Worker Taxonomy 104100000X · Licence 6801106824 (MI)

Record details

NPI number1730635731
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 30, 2016
Last updated in NPPESOctober 28, 2023
Certification dateOctober 28, 2023
Mailing address35181 Pleasant Farm Rd, Richmond, MI 48062-4235

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mount Clemens