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

Mr. Adam Tellier, CCM, LCSW

Individual provider Clinical Social Worker · NPI 1174262927

Mr. Adam Tellier, CCM, LCSW is a Clinical Social Worker in Elk Grove, California. Qualified in 2014, 12 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
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

9564 Rockybrook Way
Elk Grove, CA 95624-4055
Phone: (916) 234-6751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 104106 (CA)

Record details

NPI number1174262927
Entity typeIndividual (Type 1)
GenderMale
Credentials CCM , LCSW
Sole proprietorYes
NPI enumeratedMay 31, 2022
Last updated in NPPESMay 31, 2022
Certification dateMay 31, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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