# MR. TIMOTHY J LEARY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1962520916
- **Gender:** Man
- **Credential:** MSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | LCSW 0004247 | MO | — |
| 1041C0700X | Clinical Social Worker | LSCSW 1532 | KS | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 09/18/2014