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

Mrs. Theppharack Ad Sounthala, MSW

Individual provider Clinical Social Worker · NPI 1083745780

Mrs. Theppharack Ad Sounthala, MSW is a Clinical Social Worker in Modesto, California. Qualified in 2002, 24 years ago. Practices with Golden Valley Health Centers, a 110-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

251 E Hackett Rd
Modesto, CA 95358-9415
Phone: (209) 558-2699
Fax: (209) 558-1075
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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 LCSW26225 (CA)
Professional Counselor Taxonomy 101YP2500X · Licence LCS 26225 (CA)

Record details

NPI number1083745780
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedMarch 7, 2007
Last updated in NPPESJune 2, 2022
Certification dateJune 2, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Golden Valley Health Centers — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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