MRS. THEPPHARACK AD SOUNTHALA MSW
NPI 1083745780
Social Worker - Clinical in Modesto, CA

Q: What is Theppharack Sounthala's NPI number?

The NPI number for Theppharack Sounthala is 1083745780. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Q: What is Theppharack Sounthala's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since March 07, 2007PECOS EnrolledAccepts Medicare Assignment

251 E HACKETT RD, MODESTO, CA 95358(209) 558-2699(209) 558-1075 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Theppharack Ad Sounthala Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. THEPPHARACK AD SOUNTHALA MSW (NPI 1083745780) is an individual clinical provider in Modesto, California, licensed in California (LCSW26225) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1083745780

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. THEPPHARACK AD SOUNTHALACredential: MSW

Location Address251 E HACKETT RDModesto, CA 95358-9415

Mailing Address251 E Hackett RdModesto, CA 95358-9415 · (209) 558-2699 · Fax (209) 558-1075

Phone(209) 558-2699

Fax(209) 558-1075

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateMarch 7, 2007

Last NPPES UpdateJune 2, 2022

NPPES CertifiedJune 2, 2022

✔ NPI 1083745780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · LCSW26225

Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LCS 26225 (CA)

251 E HACKETT RD, Modesto, CA 95358

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Theppharack Ad Sounthala Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800921719

PECOS Enrollment IDI20100317000757

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95358 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.87 – $176.60

Typical copayment $0.00 (range $14.71 – $44.15)

Most-billed visit code NA

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANIE CUEVAS

Peer Specialist