Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIMOTHY PAUL SUDERMAN, LCSW
ActiveMR. TIMOTHY PAUL SUDERMAN, LCSW is a Clinical Social Worker healthcare provider located in TRACY, California. NPI 1376766188 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · TRACY, CA
Registration Details
- NPI Number
- 1376766188
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2007 (19.305220013645 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LCS21102 (CA)
Practice Information
- Address
-
241 E 10TH ST STE DTRACY, CA, 953764076Browse CA providers · Browse ZIP 95376
- Phone
- 2098315941
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in TRACY, CA
| Name | Credential | NPI |
|---|---|---|
| JAMIE PETERSON | LCSW | 1831256577 |
| MS. MARIE GRACE HALL | LCSW | 1437200623 |
| NICOLE ALEXIS DHAMNASKAR | LCSW | 1902087364 |
| NORMA JEAN PAISLEY | L.C.S.W. | 1447437892 |
| MRS. LETTIE ORDONE | LCSW | 1932433778 |
| ALECIA RAE JEPPSON | LCSW | 1144532581 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.