Terienne R Dortman, LCSW, MSN, CADC-I

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

139204 Issued in CA

Practice address

1500 S Mooney Blvd Ste 5
Visalia, CA 93277-4456

Phone

(757) 319-8570

NPI assigned

Mar 5, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Certified Registered Nurse

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1164745147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 W LAUREL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932771833",
            "telephone_number": "757-319-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MOONEY BLVD STE 5",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774456",
            "telephone_number": "757-319-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORTMAN",
        "first_name": "TERIENNE",
        "middle_name": "R",
        "credential": "LCSW, MSN, CADC-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-05",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "139204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonel Donate
• Felipe Donez
• Eric Donn, DO, MHA
• Kevin Dooms
• Sylvia Dorado
• Nidhiben P Doshi, M.D
• Veronica Nicole Dotson
• Allison Dougherty, PT
• Douglas O. Charters & Kenneth L. Hieb
• Douglas W Cook MD Inc

• Clinical Social Worker in Visalia, CA
• Providers in Visalia, 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 Jun 9, 2026; 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.