Active NPI
Anna Maria Tepedino, LCSW
- Clinical Social Worker
- Spring, TX
National Provider Identifier
1497531024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 59417
- Practice address
- 19627 Interstate 45 N Ste 210
Spring, TX 77388-6028 - Phone
- (281) 901-0050
- NPI assigned
- Sep 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 59417 | TX | Primary |
Addresses
Primary practice location
19627 Interstate 45 N Ste 210
Spring, TX 77388-6028
Mailing address
11423 Dunlap St
Houston, TX 77035-2332
Phone (713) 715-9878
Other practice location 1
805 W 10th St Ste 400G
Austin, TX 78701-2047
Phone (512) 333-2447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59417 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1497531024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11423 DUNLAP ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770352332",
"telephone_number": "713-715-9878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19627 INTERSTATE 45 N STE 210",
"city": "SPRING",
"state": "TX",
"postal_code": "773886028",
"telephone_number": "281-901-0050"
}
],
"practiceLocations": [
{
"address_1": "805 W 10th St Ste 400G",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787012047",
"country_code": "US",
"telephone_number": "512-333-2447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEPEDINO",
"first_name": "ANNA",
"middle_name": "MARIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-08",
"last_updated": "2023-09-08",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "59417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.