What is Timothy Pegman's NPI number?

Timothy Pegman's National Provider Identifier (NPI) is 1619360278, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Timothy Pegman's specialty?

Timothy Pegman is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).

Where is Timothy Pegman located?

Timothy Pegman's practice location on file with NPPES is 320 Commerce Ave Sw, Grand Rapids, MI 49503-4101.

What is Timothy Pegman's phone number?

The practice phone number listed in the NPPES registry for Timothy Pegman is (616) 222-4570.

Is Timothy Pegman's NPI active?

Yes — Timothy Pegman's NPI (1619360278) is active in the NPPES registry as of the last update on 2015-03-06.

IndividualActive

Timothy Pegman, LBSW

NPI 1619360278 · Social Worker · Grand Rapids, MI

Timothy Pegman, LBSW is a Social Worker provider in Grand Rapids, MI (NPI 1619360278).

Provider details

NPI number: 1619360278
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Credential: LBSW
Sex: Male
Sole proprietor: Yes
License: 6802085817 (MI)

Specialties & taxonomies

Social WorkerPrimary104100000XLicense 6802085817 (MI)
Behavioral Health & Social Service Providers

Profile Score

Established profile(74/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

320 Commerce Ave Sw

Grand Rapids, MI 49503-4101

Phone: (616) 222-4570

Street-level locationGet directions

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Mailing address