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

Mr. Timothy Paul Suderman, LCSW

Individual provider Clinical Social Worker · NPI 1376766188

Mr. Timothy Paul Suderman, LCSW is a Clinical Social Worker in Tracy, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

241 E 10th St Ste D
Tracy, CA 95376-4076
Phone: (209) 831-5941
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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 LCS21102 (CA)

Record details

NPI number1376766188
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 10, 2007
Last updated in NPPESJuly 8, 2007

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