MR. TIMOTHY MAXWELL LILES SWT CDCA QMHS CMS NPI 1376062992

NPI Information

NPI: 1376062992
Provider Name: MR. TIMOTHY MAXWELL LILES, SWT, CDCA, QMHS, CMS
Classification: Social Worker - 104100000X
Entity Type: Individual
PECOS Registration: Yes
Address: 519 COURT ST
PORTSMOUTH, OH
ZIP 45662
Phone: (740) 876-4370

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NPI Details

MR. Timothy Maxwell Liles, SWT, CDCA, QMHS, CMS is a social worker in Portsmouth, OH with 8 years of experience. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. MR. Timothy Maxwell Liles, SWT, CDCA, QMHS, CMS NPI is 1376062992. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

519 COURT ST
PORTSMOUTH, OH
ZIP 45662-933
Phone: (740) 876-4370

The NPI 1376062992 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/14/2017 and was last updated on 8/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LICDC.161932	OHIO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCDC.161605	OHIO	No
3	104100000X	Social Worker		S.1802660	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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