Terri Hazelwood, LMSW, LCAC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

4327 Issued in KS

Practice address

4105 W 6TH St
Suite B2
Lawrence, KS 66049-4609

Phone

(785) 766-0641

Fax

(785) 841-0026

NPI assigned

Sep 20, 2010

Last updated

Dec 28, 2012By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Seasons, LLC

  • Community/Behavioral Health Agency
  • Lawrence, KS
  • NPI 1740598226
  NPD (past)

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1407164817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 CLINTON PKWY",
            "address_2": "A201",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472220",
            "telephone_number": "785-766-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 W 6TH ST",
            "address_2": "SUITE B2",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494609",
            "telephone_number": "785-766-0641",
            "fax_number": "785-841-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELWOOD",
        "first_name": "TERRI",
        "credential": "LMSW, LCAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "4327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Hawkins
• Hanna Hawley-Gomez, LMSW
• John Haskell Hay, D.D.S.
• Denise Darby Haynes, LMSW, LCAC, PCCM
• Mariah Hazelton
• Head & Neck Surgery of Kansas City P a
• Health Care Access
• Healthstat Onsite Clinic Amarr
• Healthy Balance, Inc.
• Healthy Solutions Biofeedback and Counseling Services, LLC

• Social Worker in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.