Individual provider Active NPI

Terry Scott Sine, MSW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1003091281
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
M-05692 Issued in NM
Practice address
4730 Beckner Road
Santa Fe, NM 87507
Phone
(505) 989-4500
Fax
(505) 443-8360
NPI assigned
Jan 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X M-05692 NM Primary

Addresses

Primary practice location

4730 Beckner Road
Santa Fe, NM 87507

Mailing address

4730 Beckner Road
Santa Fe, NM 87507
Phone (505) 989-4500

Other identifiers 1

IdentifierTypeStateIssuer
78558MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081204000863 NM Practitioner - Clinical Social Worker 3375604671 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M-05692NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince Jul 19, 2025 Accepting new patients
Presbyterian Medical Services CurrentSince Jul 19, 2025 Accepting new patients
Presbyterian Medical Services Current Accepting new patients

Locations

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

4730 Beckner Rd
Santa Fe, NM 87507
Phone (505) 989-4500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1003091281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 BECKNER ROAD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87507",
            "telephone_number": "505-989-4500",
            "fax_number": "505-443-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 BECKNER ROAD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87507",
            "telephone_number": "505-989-4500",
            "fax_number": "505-443-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINE",
        "first_name": "TERRY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-05692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78558",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.