Nicole Rochelle Terlouw, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18011 Issued in MN

Practice address

1360 Energy Park Dr Ste 330
Saint Paul, MN 55108

Phone

(651) 439-2059

Fax

(888) 675-8262

NPI assigned

May 19, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Rush IncGroup PAC ID 8224131750, 19 clinicians

Open Cities Health Center IncGroup PAC ID 5799696621, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDHIBD/Endpoint/IDHIBD
• FHIR API: https://fhir4.healow.com/fhir/r4/IDHIBD

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.

• Open Cities Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • St. Paul, MN
  • NPI 1225101405
  Medicare reassignment Care Compare group NPD
• Rush Inc

  • Psychologist
  • Stillwater, MN
  • NPI 1801942040
  Medicare reassignment Care Compare group NPD
• Victorious Heart Services

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1780563528
  NPD Authorized official
• Open Cities Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Saint Paul, MN
  • NPI 1538037619
  NPD
• Family Alternatives

  • Social Worker
  • Minneapolis, MN
  • NPI 1780704940
  NPD (past)
• Family Alternatives

  • Foster Care Agency
  • Minneapolis, MN
  • NPI 1790058956
  NPD (past)

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1033438890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 101ST AVE N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341083201",
            "telephone_number": "651-439-2059",
            "fax_number": "888-675-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 ENERGY PARK DR STE 330",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55108",
            "telephone_number": "651-439-2059",
            "fax_number": "888-675-8262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1089 10th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554141312",
            "country_code": "US",
            "telephone_number": "651-746-8170 x170",
            "fax_number": "612-379-5328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERLOUW",
        "first_name": "NICOLE",
        "middle_name": "ROCHELLE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033438890",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doris M Tenner
• Tennison Consulting LLC
• Diana-Christine Teodorescu, LMFT
• Kallie Jo Tepoel, MS, BSN, CRNA
• Joyce Jacqueline Terhorst, MA, LMFT, LADC
• Christine L Ternand, MD
• Lexi Mae Ternes, RN
• Terra Firma Wellness
• Terra Sorg LLC
• Charles George Terzian, MD

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.