Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jillianna Clupper

Individual provider Clinical Social Worker · NPI 1639030141

Jillianna Clupper is a Clinical Social Worker in Cathedral City, California. Qualified in 2022, 4 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2025

Practice location Address checks out

37620 Glenn Ave
Cathedral City, CA 92234-1963
Phone: (760) 219-3514
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 135701 (CA)

Record details

NPI number1639030141
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 24, 2025
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025
Mailing address37620 Glenn Ave, Cathedral City, CA 92234-1963

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cathedral City