Provider Demographics
NPI:1932165586
Name:HUSSEY, TIMOTHY HIGGIN (LCSW)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:HIGGIN
Last Name:HUSSEY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:12 HOEBENS LN
Mailing Address - Street 2:SUITE C
Mailing Address - City:CLYDE
Mailing Address - State:NC
Mailing Address - Zip Code:28721-6700
Mailing Address - Country:US
Mailing Address - Phone:772-332-1275
Mailing Address - Fax:866-698-5307
Practice Address - Street 1:166 BRANNER AVE
Practice Address - Street 2:C
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786-3243
Practice Address - Country:US
Practice Address - Phone:772-332-1275
Practice Address - Fax:866-698-5307
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0079361041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC174H4OtherBCBS
NC1932165586Medicaid
NC1932165586Medicaid