Individual provider Active NPI

Terry Paula Hendlin, LCSW

  • Clinical Social Worker
  • Encinitas, CA
National Provider Identifier
1093891970
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 23035 Issued in CA
Practice address
826 2ND St
Encinitas, CA 92024-4408
Phone
(760) 436-1883
Fax
(760) 436-9862
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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 LCSW 23035 CA Primary

Addresses

Primary practice location

826 2ND St
Encinitas, CA 92024-4408

Mailing address

826 2ND St
Encinitas, CA 92024-4408
Phone (760) 436-1883

Other identifiers 1

IdentifierTypeStateIssuer
W18105OtherCAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100907000090 CA Practitioner - Clinical Social Worker 8325162886 Practice locations: Encinitas, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

826 2ND St
Encinitas, CA 92024-4408
Phone (760) 585-5561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 23035CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1093891970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 2ND ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244408",
            "telephone_number": "760-436-1883",
            "fax_number": "760-436-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 2ND ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244408",
            "telephone_number": "760-436-1883",
            "fax_number": "760-436-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDLIN",
        "first_name": "TERRY",
        "middle_name": "PAULA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 23035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "W18105",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.