Terrell Borum, MSW, LCSW, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TERRELL BORUM, MSW, LCSW, LLC

Practice address

8434 Page Ave
Saint Louis, MO 63130-1046

Phone

(314) 556-2793

NPI assigned

Nov 14, 2019

Last updated

Nov 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terrell Borum, LCSWNPI 1720639784

Title

Owner

Phone

(314) 556-2793

Specialties & licenses 1

Addresses

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.

• Terrell Borum, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1720639784
  Authorized official Same address or phone

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1184269037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PROVINCIAL CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221506",
            "telephone_number": "314-556-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8434 PAGE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631301046",
            "telephone_number": "314-556-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRELL BORUM, MSW, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "BORUM",
        "authorized_official_first_name": "TERRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-556-2793",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raghu P Terkonda, MD
• Abby Terlouw
• Heather Marie Terranova
• Margaret R Terranova
• Liza Terrazas, MA, NCSP
• Arnesia Faith Terrell, CDP, CADDCT, CST-P
• Leslie Marie Terrell, DO
• Lincoln Dale Henry Terrell, CNIM
• Wanda T Terrell, M.D.
• Christopher Dean Terrill, MD

• Community/Behavioral Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.