Organization Active NPI

Damien Terronez Licensed Clinical Social Worker PC

  • Clinical Social Worker
  • Clovis, CA
National Provider Identifier
1114706165
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DAMIEN TERRONEZ LICENSED CLINICAL SOCIAL WORKER PC
Practice address
1840 Shaw Ave
Clovis, CA 93611-4078
Phone
(559) 495-5799
NPI assigned
Sep 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Damien Terronez, LCSWNPI 1518104330
Title
LCSW/Owner
Phone
(559) 495-5799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1840 Shaw Ave
Clovis, CA 93611-4078

Mailing address

1840 Shaw Ave
Clovis, CA 93611-4078
Phone (559) 495-5799

National Provider Directory

National Provider Directory

Locations

1840 Shaw Ave
Clovis, CA 93611
Phone (559) 495-5799

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1114706165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 SHAW AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114078",
            "telephone_number": "559-495-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 SHAW AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114078",
            "telephone_number": "559-495-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMIEN TERRONEZ LICENSED CLINICAL SOCIAL WORKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "TERRONEZ",
        "authorized_official_first_name": "DAMIEN",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "559-495-5799",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.