Individual provider Active NPI

Terre Lynne Hamrick, LCSW;LADC;CEAP

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1306884895
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
6735 W Charleston Blvd
A-100
Las Vegas, NV 89146-9207
Phone
(702) 253-0818
Fax
(702) 253-9625
NPI assigned
Jun 4, 2006
Last updated
Jan 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

6735 W Charleston Blvd
A-100
Las Vegas, NV 89146-9207

Mailing address

4127 Pleasant Rd
Las Vegas, NV 89108-1916
Phone (702) 648-1530

Other identifiers 1

IdentifierTypeStateIssuer
100508023MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20040812000614 NV Practitioner - Clinical Social Worker 9335111954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mojave Adult Child and Family ServicesGroup PAC ID 8527364868, 2 clinicians

Practice addresses (Care Compare)

4550 W Oakey Blvd
Suite 106
Las Vegas, NV 89102-1506
Phone (702) 333-2298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mojave Adult, Child & Family Services CurrentSince Jan 1, 2016 Accepting new patients
Cambridge Counseling Center Inc. Clinical Past Accepting new patients

Locations

4550 W Oakey Blvd
Ste 106
Las Vegas, NV 89102
Phone (702) 333-2298

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1306884895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 PLEASANT RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891081916",
            "telephone_number": "702-648-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 W CHARLESTON BLVD",
            "address_2": "A-100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891469207",
            "telephone_number": "702-253-0818",
            "fax_number": "702-253-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMRICK",
        "first_name": "TERRE",
        "middle_name": "LYNNE",
        "credential": "LCSW;LADC;CEAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508023",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.