Individual provider Active NPI

Anna Maria Tepedino, LCSW

  • Clinical Social Worker
  • Spring, TX
National Provider Identifier
1497531024
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
59417 Issued in TX
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

Updated by the provider on Sep 8, 2023

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 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

LicenseStateTypeSpecialty
59417TXMDClinical 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.

Verify at the official NPI Registry.