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

Joseph Tyler Antico, LCSW

Individual provider Clinical Social Worker · NPI 1922754696

Joseph Tyler Antico, LCSW is a Clinical Social Worker in Rancho Mirage, California. Qualified in 2019, 7 years ago. Practices with Tobias Moeller-Bertram MD Corporation, a 55-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

36101 Bob Hope Dr Ste A
Rancho Mirage, CA 92270-2001
Phone: (760) 321-1315
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 122771 (CA)

Record details

NPI number1922754696
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 22, 2022
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Tobias Moeller-Bertram Md Corporation — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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