TIM SHERRELL, LCSW — NPI 1114086238 (Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical in LOWER LAKE, CA)

CMS-1500 Box 24J / 33a • NPI

1114086238

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

1041C0700X (CMS 80)

Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical

Box 32 Service Location & ZIP+4

9667 HIGHWAY 29, SUITE 200, LOWER LAKE, CA, 95457

Official NPPES Practice Location

Practice Phone & Referral Fax

(707) 994-6726

Fax: (707) 998-3120

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1114086238 (TIM SHERRELL, LCSW) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B

✓ Eligible

DMEPOS Ordering

✓ Eligible

Home Health (HHA)

Power Mobility

Hospice Referring

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1114086238)

Medicare Beneficiaries

Total Billed Services

300

Distinct CPT/HCPCS Codes

Medicare Allowed Total

$27,789.55

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCS	Clinical Procedure Description	Services
`90834`	Psychotherapy, 45 minutes	149
`90837`	Psychotherapy, 1 hour	131

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1114086238` (NPI-1 Individual Practitioner)
Provider / Legal Name	TIM SHERRELL, LCSW
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical NUCC Code: `1041C0700X` (Social Worker, Clinical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	9667 HIGHWAY 29, SUITE 200, LOWER LAKE, CA, 95457
Practice Telephone / Fax	Tel: (707) 994-6726 \| Fax: (707) 998-3120
Administrative Mailing Address	PO BOX 1656, LOWER LAKE, CA, 95457
Enumeration & Last Sync	Enumerated: 2006-12-06 \| CMS Record Updated: 2010-06-07

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

9667 HIGHWAY 29, SUITE 200, LOWER LAKE, CA, 95457

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Plain-English Taxonomy & CMS Crosswalk (1041C0700X)

What Does Taxonomy Code 1041C0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1041C0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 80 (Licensed Clinical Social Worker)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Social Worker, Clinical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TIM SHERRELL, LCSW)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: CA \| License: `LCS15755` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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TIM SHERRELL, LCSW (NPI #1114086238)