JUDITH DENISE SUTHERLAND LCSW
NPI 1851611503
Social Worker - Clinical in Tyler, TX

Active since June 04, 2010PECOS EnrolledAccepts Medicare Assignment
2990 N BROADWAY AVE, TYLER, TX 75702(903) 535-9041 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 20, 2024, Jan 24, 2023, Aug 23, 2021 and 1 more (4 updates tracked since 2021).

About Judith Denise Sutherland Lcsw NPPES

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

JUDITH DENISE SUTHERLAND LCSW (NPI 1851611503) is an individual clinical provider in Tyler, Texas, licensed in Texas (53473) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1851611503
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJUDITH DENISE SUTHERLANDCredential: LCSW
Location Address2990 N BROADWAY AVETyler, TX 75702-2149
Mailing Address523 S Fannin AveTyler, TX 75702-8204 · (903) 535-9041
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 4, 2010
Last NPPES UpdateNovember 20, 20244 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
NPI 1851611503 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 TX · 53473
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.

2990 N BROADWAY AVE, Tyler, TX 75702

Secondary Practice Locations 2

Location 11115 US Highway 259 SHenderson, TX 75654-3629 · Phone (903) 392-8203 · Fax (903) 392-8207
Location 24002 S Loop 256 Ste KPalestine, TX 75801-8402 · Phone (903) 729-3015 · Fax (877) 547-2231

Other Identifiers 1

Medicaid203375501TX

Accepted Insurance

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

Judith Denise Sutherland 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 ID6608046966
PECOS Enrollment IDI20110824000878
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 75702 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 $54.84 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 18

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

Nurse Practitioner
2990 N BROADWAY AVE
TYLER, TX 75702
Pediatrics
2990 N BROADWAY AVE
TYLER, TX 75702
Pediatrics
2990 N BROADWAY AVE
TYLER, TX 75702
Social Worker
2990 N BROADWAY AVE
TYLER, TX 75702
Nurse Practitioner (Pediatrics)
2990 N BROADWAY AVE
TYLER, TX 75702
Nurse Practitioner (Family)
2990 N BROADWAY AVE
TYLER, TX 75702
Nurse Practitioner (Pediatrics)
2990 N BROADWAY AVE
TYLER, TX 75702
Nurse Practitioner (Pediatrics)
2990 N BROADWAY AVE
TYLER, TX 75702

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 Judith Sutherland's NPI number?

The NPI number for Judith Sutherland is 1851611503. It was assigned to this individual provider in the NPPES registry on June 4, 2010.

Where is Judith Sutherland located?

Judith Sutherland practices at 2990 N Broadway Ave, Tyler, TX 75702. The listed phone number is (903) 535-9041.

What is Judith Sutherland's specialty?

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

Is Judith Sutherland enrolled in Medicare?

Yes. Judith Sutherland 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.

What insurance does Judith Sutherland accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Judith Sutherland as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Judith Sutherland was last updated on November 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.