Individual provider Active NPI

Ann Tepperman, LCSW

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1730554601
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L6755 Issued in OR
Practice address
1915 Tigertail Rd
Eugene, OR 97405-1727
Phone
(614) 306-1122
NPI assigned
Dec 3, 2015
Last updated
Dec 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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 L6755 OR Primary

Addresses

Primary practice location

1915 Tigertail Rd
Eugene, OR 97405-1727

Mailing address

1915 Tigertail Rd
Eugene, OR 97405-1727
Phone (614) 306-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20221214002214 OR Practitioner - Clinical Social Worker 9931578945 Practice locations: Eugene, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Tepperman Inc CurrentSince Nov 24, 2025 Accepting new patients
Alive Counseling Clinic, LLC PastSince Feb 1, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1730554601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 TIGERTAIL RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974051727",
            "telephone_number": "614-306-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 TIGERTAIL RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974051727",
            "telephone_number": "614-306-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPPERMAN",
        "first_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.