IndividualActive
Timothy Suderman, LCSW
NPI 1376766188 · Clinical Social Worker · Tracy, CA
Timothy Suderman, LCSW is a Clinical Social Worker provider in Tracy, CA (NPI 1376766188).
Provider details
- NPI number
- 1376766188
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- LCS21102 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
241 E 10th St Ste D
Tracy, CA 95376-4076
Phone: (209) 831-5941
Street-level locationGet directions
Mailing address
3412 Grimshaw Way
Elk Grove, CA 95758-4594
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2007-07-08
Frequently asked questions
- What is Timothy Suderman's NPI number?
- Timothy Suderman's National Provider Identifier (NPI) is 1376766188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Suderman's specialty?
- Timothy Suderman is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Timothy Suderman located?
- Timothy Suderman's practice location on file with NPPES is 241 E 10th St Ste D, Tracy, CA 95376-4076.
- What is Timothy Suderman's phone number?
- The practice phone number listed in the NPPES registry for Timothy Suderman is (209) 831-5941.
- Is Timothy Suderman's NPI active?
- Yes — Timothy Suderman's NPI (1376766188) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.