Terri G. Spain, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4309C Issued in AL

Practice address

12039 Olde South LN
MC Calla, AL 35111-2335

Phone

(205) 213-3409

NPI assigned

Jun 16, 2020

Last updated

Apr 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Informed Counseling, LLC

  • Community/Behavioral Health Agency
  • McCalla, AL
  • NPI 1427639079
  Authorized official Same address or phone

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1235754110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12039 OLDE SOUTH LN",
            "city": "MC CALLA",
            "state": "AL",
            "postal_code": "351112335",
            "telephone_number": "205-213-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12039 OLDE SOUTH LN",
            "city": "MC CALLA",
            "state": "AL",
            "postal_code": "351112335",
            "telephone_number": "205-213-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAIN",
        "first_name": "TERRI",
        "middle_name": "G.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4309C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salon Lisa Brown
• Olga M. Sanchez-Hernandez, D.M.D., M.S., M.S.
• Abbey Sedlacek, DPT
• Senior Housing Services Inc (Transportation One)
• Andrea Michelle Shirey, M.D.
• The Medley Corporation LLC
• The Village Consultant, LLC
• The Woodlands LLC
• Therapy South-Bessemer, LLC
• Katrina C Travis, RN

• Clinical Social Worker in McCalla, AL
• Providers in McCalla, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.