Individual
TIMOTHY NAILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(605) 385-6700
Mailing address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(605) 385-6700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149014753
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149.014735
LICENSE
IL
01
—
149.014753
US AIR FORCE
IL
Enumeration date
05/26/2012
Last updated
10/07/2025
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