Individual provider Active NPI

Margot E. Tepperman, LCSW

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1295956324
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS9267 Issued in CA
Practice address
171 N Van Ness Ave
Fresno, CA 93701-1671
Phone
(559) 233-7250
Fax
(559) 233-9126
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS9267 CA Primary

Addresses

Primary practice location

171 N Van Ness Ave
Fresno, CA 93701-1671

Mailing address

171 N Van Ness Ave
Fresno, CA 93701-1671
Phone (559) 233-7250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151110002549 CA Practitioner - Clinical Social Worker 8729014402 Practice locations: Fresno, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS9267CAMDClinical Social Worker
9267CAMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295956324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 N VAN NESS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937011671",
            "telephone_number": "559-233-7250",
            "fax_number": "559-233-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 N VAN NESS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937011671",
            "telephone_number": "559-233-7250",
            "fax_number": "559-233-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPPERMAN",
        "first_name": "MARGOT",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS9267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.