Amy Daye Terracina, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW54964 Issued in TX

Practice address

700 S. Westgreen Blvd.
Interface-Samaritan Counseling Centers, Inc.
Katy, TX 77450

Phone

(713) 626-7990

Fax

(713) 627-7715

NPI assigned

Sep 1, 2006

Last updated

May 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Interface-Samaritan Counseling Centers

  • Mental Health Counselor
  • Houston, TX
  • NPI 1245454768
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1073615142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 SAN FELIPE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770563907",
            "telephone_number": "713-626-7990",
            "fax_number": "713-627-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S. WESTGREEN BLVD.",
            "address_2": "INTERFACE-SAMARITAN COUNSELING CENTERS, INC.",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "713-626-7990",
            "fax_number": "713-627-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRACINA",
        "first_name": "AMY",
        "middle_name": "DAYE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": "LCSW2839",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "LCSW54964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tenorio & Associates, Inc
• Albert Joseph Tenorio, LSA,FICS
• Sarah Teo, PA-C
• Tepeorthopeds PLLC (Smiles On Orthodontics)
• Teresa Maricela Noria (A Heart of Gold, HCS)
• Ryan L Terry, CFST I, II
• Testothera
• Tetch Health Sciences
• Louisa Tetteh
• Texacare Health Services, Inc

• Clinical Social Worker in Katy, TX
• Providers in Katy, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.

Verify at the official NPI Registry.