Individual provider Active NPI

Andrea L Stocker, LCSW

  • Clinical Social Worker
  • Tehachapi, CA
National Provider Identifier
1174924435
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
89643 Issued in CA
Practice address
122 S Green St
Tehachapi, CA 93561-1717
Phone
(760) 428-2776
NPI assigned
Sep 5, 2014
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Clinical Social Worker 1041C0700X 89643 CA Primary

Addresses

Primary practice location

122 S Green St
Tehachapi, CA 93561-1717

Mailing address

PO Box 2390
Tehachapi, CA 93581-2390
Phone (760) 428-2776

Other practice location 1

161 N Mill St
Tehachapi, CA 93561-1347
Phone (800) 300-6664

Other practice location 2

26471 Bear Valley Rd
Tehachapi, CA 93561-9251
Phone (760) 428-2776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200108001015 CA Practitioner - Clinical Social Worker 6901231505 Reassigns benefits to 3 organizations
I20250210003075 OR Practitioner - Clinical Social Worker 6901231505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sud Specialty Group - CaGroup PAC ID 9537534177, 519 clinicians

Practice addresses (Care Compare)

122 S Green St
Tehachapi, CA 93561-1717
Phone (760) 428-2776

4633 Old Ironsides Dr
Suite 304
Santa Clara, CA 95054-1846
Phone (866) 280-0260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89643CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons of Change Licensed Clinical Social Worker Inc Clinical CurrentSince Jun 8, 2025 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Jan 3, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jan 7, 2025 Accepting new patients
Andrea L Stocker CurrentSince Oct 1, 2022 Accepting new patients
Sud Specialty Group - Ca Clinical CurrentSince Aug 1, 2025 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (323) 745-8323

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

20288 W Valley Blvd
Tehachapi, CA 93561
Phone (760) 428-2776

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1174924435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2390",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935812390",
            "telephone_number": "760-428-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S GREEN ST",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935611717",
            "telephone_number": "760-428-2776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 N Mill St",
            "address_purpose": "LOCATION",
            "city": "Tehachapi",
            "state": "CA",
            "postal_code": "935611347",
            "country_code": "US",
            "telephone_number": "800-300-6664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26471 Bear Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Tehachapi",
            "state": "CA",
            "postal_code": "935619251",
            "country_code": "US",
            "telephone_number": "760-428-2776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCKER",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2022-10-25",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "89643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tehachapi, CA

Sources for this page

Verify at the official NPI Registry.