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

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: July 19, 2026.

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
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

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.

Counselor (Professional)
251 E HACKETT RD
MODESTO, CA 95358
Marriage & Family Therapist
251 E HACKETT RD
MODESTO, CA 95358
Marriage & Family Therapist
251 E HACKETT RD
MODESTO, CA 95358
Marriage & Family Therapist
251 E HACKETT RD
MODESTO, CA 95358
Community/Behavioral Health
251 E HACKETT RD
MODESTO, CA 95358
Community/Behavioral Health
251 E HACKETT RD
MODESTO, CA 95358
Technician
251 E HACKETT RD
MODESTO, CA 95358
Counselor (Professional)
251 E HACKETT RD
MODESTO, CA 95358

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083745780, enumerated as an "individual" on March 07, 2007.

The provider is located at 251 E HACKETT RD MODESTO, CA 95358 and the phone number is (209) 558-2699.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.