Individual provider Active NPI

Joan E Terry, LCSW

  • Clinical Social Worker
  • Scottsburg, IN
National Provider Identifier
1467976266
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007887A Issued in IN
Practice address
183 E McClain Ave
Scottsburg, IN 47170-1845
Phone
(812) 414-2331
NPI assigned
Aug 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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 34007887A IN Primary

Addresses

Primary practice location

183 E McClain Ave
Scottsburg, IN 47170-1845

Mailing address

183 E McClain Ave
Scottsburg, IN 47170-1845
Phone (812) 414-2331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180813000358 IN Practitioner - Clinical Social Worker 1355699083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Still Water Individual and Family Therapy Services IncGroup PAC ID 0042645277, 2 clinicians

Practice addresses (Care Compare)

183 E McClain Ave
Scottsburg, IN 47170-1845
Phone (812) 414-2331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespring, Inc CurrentSince Jul 7, 2018 Accepting new patients
Still Water Individual and Family Therapy Services, Inc. CurrentSince Dec 2, 2019 Accepting new patients
Lifespring, Inc CurrentSince Jul 7, 2018 Accepting new patients
Centerstone of Indiana, Inc. Past Accepting new patients
Centerstone of Indiana, Inc. Past Accepting new patients

Locations

460 Spring St
Jeffersonvlle, IN 47130
Phone (812) 280-3583

1036 Sharon Dr
Jeffersonvlle, IN 47130
Phone (812) 258-9281

183 E McClain Ave
Scottsburg, IN 47170
Phone (812) 414-2331

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1467976266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 E MCCLAIN AVE",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471701845",
            "telephone_number": "812-414-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 E MCCLAIN AVE",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471701845",
            "telephone_number": "812-414-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "JOAN",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007887A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsburg, IN

Sources for this page

Verify at the official NPI Registry.