TIMOTHY ALAN JUDSON – Clinical Social Worker, NPI 1225679145

TIMOTHY ALAN JUDSON is a healthcare provider. based in Souderton, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold a License No. CW022200 (PA). The NPI Number for TIMOTHY ALAN JUDSON is 1225679145

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY ALAN JUDSON
NPI
1225679145
Phone
(484) 636-9345
Address
369 W BROAD ST APT 5
Enumeration Date
2 October 2019
Last Update Date
13 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9732640023
Graduation Year
2016 (10 years ago)
PAC ID
6608267646
Group Practice PAC ID
2264791268
Professional Enrollment ID
I20211229001350
Address ID
PA19076XXXXPRXXXXXXXXXX00

Contacts

Main Contact
SOUDERTON
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Other namesUpdated within 12 months

2,438 CLINICAL SOCIAL WORKER in PA

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Provider Addresses for TIMOTHY ALAN JUDSON

  • 369 W BROAD ST APT 5

    SOUDERTON, PA 189641856

    Phone: (484) 636-9345

    Type: Mailing

  • Baltimore Pike, Longwood, Kennett Township, Chester County, Pennsylvania, 19340, United States

    KENNETT SQUARE, PA 193481800

    Phone: (610) 388-9225

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-12-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211229001350IClinical Social WorkerPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes1,846161$0
90846Family psychotherapy without patient, 50 minutes21999$0
90791Psychiatric diagnostic evaluation5251$0
90847Family psychotherapy with patient, 50 minutes4834$0
View full utilization report →

Insurance plans in this area (ZIP 18964)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264791268View full group profile
NameSpecialtyState
Clinical PsychologistPA
Clinical PsychologistPA
-PA
Clinical Social WorkerCO
Marriage And Family TherapistPA
Mental Health CounselorFL
Marriage And Family TherapistPA
Marriage And Family TherapistPA
Clinical PsychologistPA
-PA

Reviews

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Frequently asked questions

Is there an official ID for TIMOTHY ALAN JUDSON in U.S. healthcare records?
The official identifier for TIMOTHY ALAN JUDSON is NPI 1225679145.
Is TIMOTHY ALAN JUDSON shown as active in public data?
Registry records indicate TIMOTHY ALAN JUDSON maintains an active NPI.
What clinical focus is listed for TIMOTHY ALAN JUDSON?
At a glance, TIMOTHY ALAN JUDSON is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is TIMOTHY ALAN JUDSON associated with Souderton?
Public fields place TIMOTHY ALAN JUDSON around Souderton, Pennsylvania. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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