Individual provider Active NPI

David J Tepperman, LCSW

  • Clinical Social Worker
  • Corcoran, CA
National Provider Identifier
1467877415
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5250 Issued in CA
Practice address
4001 King Ave
Corcoran, CA 93212-9611
Phone
(559) 992-8800
Fax
(559) 992-7341
NPI assigned
Feb 27, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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 5250 CA Primary

Addresses

Primary practice location

4001 King Ave
Corcoran, CA 93212-9611

Mailing address

4001 King Ave
Corcoran, CA 93212-9611
Phone (559) 992-8800

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
I20220218002022 CA Practitioner - Clinical Social Worker 3577957430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
A Mind Above a Professional Psychology CorporationGroup PAC ID 1759717978, 5 clinicians

Practice addresses (Care Compare)

1300 E Shaw Ave
Suite 109
Fresno, CA 93710-7903
Phone (559) 712-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Mind Above, a Professional Psychology Corporation CurrentSince Nov 13, 2021 Accepting new patients
CSP-Corcoran Past Accepting new patients
Corrections and Rehabilitation-Headquarters PastSince Aug 1, 2019 Accepting new patients

Locations

334 Shaw Ave
Ste 100
Clovis, CA 93612
Phone (559) 454-1819

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1467877415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 KING AVE",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932129611",
            "telephone_number": "559-992-8800",
            "fax_number": "559-992-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 KING AVE",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932129611",
            "telephone_number": "559-992-8800",
            "fax_number": "559-992-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPPERMAN",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "5250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corcoran, CA

Sources for this page

Verify at the official NPI Registry.