Active NPI
Terry T. Judice, LCSW
- Clinical Social Worker
- Lafayette, LA
National Provider Identifier
1063463354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2956
- Practice address
- 141 Ridgeway Dr.
Suite 103
Lafayette, LA 70503 - Phone
- (337) 235-5088
- Fax
- (337) 232-0022
- NPI assigned
- May 12, 2006
- Last updated
- Oct 18, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2956 | LA | Primary |
Addresses
Primary practice location
141 Ridgeway Dr.
Suite 103
Lafayette, LA 70503
Mailing address
141 Ridgeway Dr.
Suite 103
Lafayette, LA 70503
Phone (337) 235-5088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2956 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer R. Vines LCSW Inc | Clinical | Past | Accepting new patients |
| Neuropsychiatric Clinic of Acadiana LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Lafayette, LA
- NPI 1164604609
-
- Psychiatry Physician
- Lafayette, LA
- NPI 1629014642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318896000000",
"number": "1063463354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 RIDGEWAY DR.",
"address_2": "SUITE 103",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70503",
"telephone_number": "337-235-5088",
"fax_number": "337-232-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 RIDGEWAY DR.",
"address_2": "SUITE 103",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70503",
"telephone_number": "337-235-5088",
"fax_number": "337-232-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDICE",
"first_name": "TERRY",
"middle_name": "T.",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2011-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "2956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.