North Star Holistic Healing a Licensed Clinical Social Worker Corp

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NORTH STAR HOLISTIC HEALING A LICENSED CLINICAL SOCIAL WORKER CORP

Practice address

39252 Winchester Rd Ste 107491
Murrieta, CA 92563-3509

Phone

(951) 587-1496

Fax

(951) 834-0221

NPI assigned

Jun 16, 2022

Organization subpart

No

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

Authorized official

Name

Charlene Marie Terry, LCSWNPI 1811447683

Title

Ceo

Phone

(951) 587-1496

Specialties & licenses 1

Addresses

Other names 1

• North Star Holistic Healing Mental Health Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charlene Marie Terry, LCSW, MSW

  • Clinical Social Worker
  • Murrieta, CA
  • NPI 1811447683

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1124758545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39252 WINCHESTER RD STE 107 491",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633509",
            "telephone_number": "951-587-1496",
            "fax_number": "951-834-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39252 WINCHESTER RD STE 107491",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633509",
            "telephone_number": "951-587-1496",
            "fax_number": "951-834-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR HOLISTIC HEALING A LICENSED CLINICAL SOCIAL WORKER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-587-1496",
        "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": [
        {
            "organization_name": "North Star Holistic Healing Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine R. Noeller, DPM
• Sophia Nooruddin, O.D.
• Jemimae Nordgren
• Isabelle Rosalee Norgord
• Debra Ann Normand, MS CCC-SLP
• Marjan Nourai, DDS
• Sarvenaz Nouri, M.D.
• Susan Catherine Nowell, DPT
• Rachael Taylor Noyles, LVN
• Noyon Transport LLC

• Clinical Social Worker in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.