Gaither Moore Terrell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C002383 Issued in NC

Practice address

200 W Parkway Ave
High Point, NC 27262-3026

Phone

(336) 847-1200

NPI assigned

Jan 30, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1306300710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 W PARKWAY AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623031",
            "telephone_number": "336-847-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W PARKWAY AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623026",
            "telephone_number": "336-847-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "GAITHER",
        "middle_name": "MOORE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura M Taylor, MS, LCMHCS, EMDR-C
• Teresa Jane Taylor, RN
• Sharon Sue Tebbe, PTA
• David Tedder
• Michael Emile Tepedino, MD
• Grace Emerson Terrell, MD
• Terry Dawson, DDS, PA
• Sapna R Thakkar, DDS
• Bebit Sherlin Thangam, M.D.
• The Arc of High Point

• Clinical Social Worker in High Point, NC
• Providers in High Point, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.