MR. TIMOTHY PAUL SUDERMAN LCSW
NPI 1376766188
Social Worker - Clinical in Tracy, CA

Active since April 10, 2007
241 E 10TH ST STE D, TRACY, CA 95376(209) 831-5941 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Timothy Paul Suderman Lcsw NPPES

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

MR. TIMOTHY PAUL SUDERMAN LCSW (NPI 1376766188) is an individual clinical provider in Tracy, California, licensed in California (LCS21102) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1376766188
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. TIMOTHY PAUL SUDERMANCredential: LCSW
Location Address241 E 10TH ST STE DTracy, CA 95376-4076
Mailing Address3412 Grimshaw WayElk Grove, CA 95758-4594 · (916) 683-9826
Sole ProprietorNo
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1376766188 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 · LCS21102
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.

241 E 10TH ST STE D, Tracy, CA 95376

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
241 E 10TH ST STE D
TRACY, CA 95376

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 Timothy Suderman's NPI number?

The NPI number for Timothy Suderman is 1376766188. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Timothy Suderman located?

Timothy Suderman practices at 241 E 10th St Ste D, Tracy, CA 95376. The listed phone number is (209) 831-5941.

What is Timothy Suderman's specialty?

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

When was this NPI record last updated?

The NPPES record for Timothy Suderman was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.