Individual provider · Type 1 NPI

Timothy Paul Suderman, LCSW

Clinical Social Worker · Tracy, CA

NPI number 1376766188 Active

Practice location

241 E 10th St Ste D
Tracy, CA 95376-4076

Call (209) 831-5941 Map

Mailing address

3412 Grimshaw Way
Elk Grove, CA 95758-4594

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS21102 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1376766188

Timothy Paul Suderman, LCSW's National Provider Identifier is 1376766188, issued on Apr 10, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tracy, CA. The record was last updated on Jul 8, 2007.