MRS. THEPPHARACK AD SOUNTHALA MSW
NPI 1083745780
Social Worker - Clinical in Modesto, CA
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Theppharack Sounthala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Modesto, CA 95358
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Golden Valley Health Centers
- 440 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Theppharack Sounthala located?
Theppharack Sounthala practices at 251 E Hackett Rd, Modesto, CA 95358. The listed phone number is (209) 558-2699.
What is Theppharack Sounthala's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Theppharack Sounthala enrolled in Medicare?
Yes. Theppharack Sounthala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Theppharack Sounthala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theppharack Sounthala reassigns Medicare benefits to Golden Valley Health Center (Modesto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theppharack Sounthala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Theppharack Sounthala was last updated on June 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Theppharack Ad Sounthala, MSW · NPI 1083745780
Clinical provider in Modesto, California. Individual provider, active in the CMS NPPES registry since March 7, 2007.
## Identity
- **NPI:** 1083745780 (Entity type: Individual)
- **Enumerated:** March 7, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LCSW26225 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 251 E HACKETT RD, Modesto, CA 95358-9415
- **Phone:** (209) 558-2699 · **Fax:** (209) 558-1075
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Golden Valley Health Center (NPI 1780668863, Modesto, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** June 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1083745780) · Data from the CMS NPPES public registry.