Individual provider Active NPI

Jeffrey W Tepper, LCSW

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1588854186
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
54202 Issued in TX
Practice address
5402 Arapaho Rd
Dallas, TX 75248-6905
Phone
(972) 437-9950
Fax
(972) 437-1988
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 214393 MA
Clinical Social Worker 1041C0700X 54202 TX Primary

Addresses

Primary practice location

5402 Arapaho Rd
Dallas, TX 75248-6905

Mailing address

5402 Arapaho Rd
Dallas, TX 75248-6905
Phone (972) 437-9950

Other identifiers 2

IdentifierTypeStateIssuer
214393OtherMALCSW
54202OtherTXTEXAS BOARD OF SOCIAL WORK EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110321000559 TX Practitioner - Clinical Social Worker 6800079476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Family Service of Dallas, IncGroup PAC ID 3274504808, 17 clinicians

Practice addresses (Care Compare)

16301 Quorum Dr
Suite A1800
Forney, TX 75001-1443

16301 Quorum Dr
Suite B2200
Addison, TX 75001-5978

5402 Arapaho Rd
Dallas, TX 75248-6905
Phone (972) 437-9950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
214393MAMDSocial Worker
54202TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Dallas, Inc CurrentSince Oct 14, 2010 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jeffrey.tepper.1@27034.direct.athenahealth.com

Organizations & group practices 1

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1588854186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 ARAPAHO RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752486905",
            "telephone_number": "972-437-9950",
            "fax_number": "972-437-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 ARAPAHO RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752486905",
            "telephone_number": "972-437-9950",
            "fax_number": "972-437-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPPER",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "214393",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "54202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "214393",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "54202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.