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MR. ADAM TELLIER CCM, LCSW
NPI 1174262927
Social Worker - Clinical in Elk Grove, CA

Active since May 31, 2022PECOS EnrolledAccepts Medicare Assignment
9564 ROCKYBROOK WAY, ELK GROVE, CA 95624(916) 234-6751 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Adam Tellier Ccm, Lcsw NPPES

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

MR. ADAM TELLIER CCM, LCSW (NPI 1174262927) is an individual clinical provider in Elk Grove, California, licensed in California (104106) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1174262927
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. ADAM TELLIERCredential: CCM, LCSW
Location Address9564 ROCKYBROOK WAYElk Grove, CA 95624-4055
Mailing Address9564 Rockybrook WayElk Grove, CA 95624-4055 · (916) 549-4676
Phone(916) 234-6751
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMay 31, 2022
NPPES CertifiedMay 31, 2022
✔ NPI 1174262927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 104106
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.
9564 ROCKYBROOK WAY, Elk Grove, CA 95624
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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

Mr. Adam Tellier Ccm, Lcsw 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 ID6709222425
PECOS Enrollment IDI20240315001621
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Adam Tellier reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc
28 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000
Sud Specialty Group - Ca
79 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

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 95624 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 $60.44 – $180.85
Typical copayment $0.00 (range $15.11 – $45.21)
Most-billed visit code NA
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

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 Adam Tellier's NPI number?

The NPI number for Adam Tellier is 1174262927. It was assigned to this individual provider in the NPPES registry on May 31, 2022.

Where is Adam Tellier located?

Adam Tellier practices at 9564 Rockybrook Way, Elk Grove, CA 95624. The listed phone number is (916) 234-6751.

What is Adam Tellier's specialty?

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

Is Adam Tellier enrolled in Medicare?

Yes. Adam Tellier 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 organizations bill Medicare for Adam Tellier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Tellier reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Stockton, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each 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 Adam Tellier'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 Adam Tellier was last updated on May 31, 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.