Provider Demographics
NPI:1104653054
Name:FLEMING, TIM (SCHOOL SOCIAL WORKER)
Entity type:Individual
Prefix:MR
First Name:TIM
Middle Name:
Last Name:FLEMING
Suffix:
Gender:M
Credentials:SCHOOL SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:NH
Mailing Address - Zip Code:03451-2388
Mailing Address - Country:US
Mailing Address - Phone:603-336-5984
Mailing Address - Fax:
Practice Address - Street 1:49 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:NH
Practice Address - Zip Code:03451-2388
Practice Address - Country:US
Practice Address - Phone:603-336-5984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1194801041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool