Marina Terrell, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-07924 Issued in NM

Practice address

715 E Idaho Ave Ste 2E
Las Cruces, NM 88001-4701

Phone

(575) 556-9585

Fax

(575) 556-9456

NPI assigned

Apr 29, 2012

Last updated

Apr 29, 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)

Enrolled

State licenses

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.

• Breena S. Tafoya & Associates, LLC

  dba Tafoya & Associates Behavioral Health

  • Professional Counselor
  • Las Cruces, NM
  • NPI 1083874903
  NPD (past)

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

{
    "created_epoch": "1335657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335657600000",
    "number": "1437417383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E IDAHO AVE STE 2E",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880014701",
            "telephone_number": "575-556-9585",
            "fax_number": "575-556-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E IDAHO AVE STE 2E",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880014701",
            "telephone_number": "575-556-9585",
            "fax_number": "575-556-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "MARINA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-29",
        "last_updated": "2012-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-07924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilberto Terrazas
• Joe Terrazas, LPCC
• Miguel A Terrazas, LSAA
• Norma Delia Terrazas
• Salvador Terrazas
• Laramie Rae Tesillo, DPT
• Tesoro Integrative Health Center
• Isabella Tetreault-Saez
• Texas Oncology, PA (Southern New Mexico Cancer Care)
• The Aristocrat of Las Cruces, LLC (The Adobe)

• Clinical Social Worker in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.