| David J Tepperman, LCSW | |
|
4001 King Ave, Corcoran, CA 93212-9611 | |
| (559) 992-8800 | |
| (559) 992-7341 |
| Full Name | David J Tepperman |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 55 Years |
| Location | 4001 King Ave, Corcoran, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467877415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5250 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| A Mind Above A Professional Psychology Corporation | 1759717978 | 5 |
| Entity Name | A Mind Above A Professional Psychology Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669039327 PECOS PAC ID: 1759717978 Enrollment ID: O20200207000219 |
| Mailing Address | Practice Location Address |
|---|---|
| David J Tepperman, LCSW 4001 King Ave, Corcoran, CA 93212-9611 Ph: (559) 992-8800 | David J Tepperman, LCSW 4001 King Ave, Corcoran, CA 93212-9611 Ph: (559) 992-8800 |
Ms. Liza V Maravilla, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Quebec Avenue, Corcoran, CA 93212 Phone: 559-992-7100 Fax: 559-992-7104 | |
Carina Cristal Angel, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 King Ave, Corcoran, CA 93212 Phone: 559-362-1624 | |
Tisa Rae Garrison, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1425 1/2 Letts Ave, Corcoran, CA 93212 Phone: 559-762-7044 | |
Reba Kimber-nelson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Quebec Ave, Corcoran, CA 93212 Phone: 661-817-2896 | |
Mr. Anthony Valdez Casillas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 King Ave, Corcoran, CA 93212 Phone: 559-992-8800 Fax: 559-992-7341 | |
Sarah Yang, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Quebec Ave, Corcoran, CA 93212 Phone: 559-202-3997 | |
Tiffany Jean Sparks-mendoza, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 King Ave., Corcoran, CA 93212 Phone: 559-992-8800 |