Individual provider Active NPI

Terence Clowney, LCSW

  • Clinical Social Worker
  • Melbourne, FL
National Provider Identifier
1104988419
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2174 Issued in FL
Practice address
1696 W Hibiscus Blvd
Suite a
Melbourne, FL 32901-2638
Phone
(321) 725-0554
Fax
(321) 952-0202
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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 2174 FL Primary

Addresses

Primary practice location

1696 W Hibiscus Blvd
Suite a
Melbourne, FL 32901-2638

Mailing address

1696 W Hibiscus Blvd
Suite a
Melbourne, FL 32901-2638
Phone (321) 725-0554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041220000266 FL Practitioner - Clinical Social Worker 5193782332 Practice locations: Melbourne, FL; Palm Bay, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2174FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly L Dunn MD PA Past Accepting new patients
University Center Urgent Care, LLC PastSince Sep 1, 2013 Accepting new patients
University Center Medical LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCBCCA/Endpoint/DCBCCA
  • Direct secure messaging: terry.clowney@hfmc1.eclinicaldirectplus.com

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1104988419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1696 W HIBISCUS BLVD",
            "address_2": "SUITE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012638",
            "telephone_number": "321-725-0554",
            "fax_number": "321-952-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1696 W HIBISCUS BLVD",
            "address_2": "SUITE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012638",
            "telephone_number": "321-725-0554",
            "fax_number": "321-952-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOWNEY",
        "first_name": "TERENCE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "2174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.