Individual provider Active NPI

Terri Lynn Hoag, LICSW

  • Clinical Social Worker
  • Mobile, AL
National Provider Identifier
1477580504
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5031C Issued in AL
Practice address
5100 Todd Acres Dr
Mobile, AL 36619-9237
Phone
(727) 422-4656
Fax
(888) 369-0354
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6019 TN
Clinical Social Worker 1041C0700X 258786 KY
Clinical Social Worker 1041C0700X 44SC06314900 NJ
Clinical Social Worker 1041C0700X 123249 IA
Clinical Social Worker 1041C0700X 5031C AL Primary

Addresses

Primary practice location

5100 Todd Acres Dr
Mobile, AL 36619-9237

Mailing address

5100 Todd Acres Dr
Mobile, AL 36619-9237
Phone (727) 422-4656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL, NJ, KY, IA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20190603002512 TN Practitioner - Clinical Social Worker 0042112880 Reassigns benefits to 1 organization
Practice locations: Livingston, TN; Monterey, TN
I20220613001063 AL Practitioner - Clinical Social Worker 0042112880 Practice locations: Mobile, AL
I20250521003699 NJ Practitioner - Clinical Social Worker 0042112880 Reassigns benefits to 1 organization
I20250522002799 KY Practitioner - Clinical Social Worker 0042112880 Reassigns benefits to 1 organization
I20250527002950 IA Practitioner - Clinical Social Worker 0042112880 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6019TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group of New Jersey PC Clinical CurrentSince Apr 26, 2025 Accepting new patients
Terri L Hoag Clinical CurrentSince Nov 29, 2014 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Apr 16, 2025 Accepting new patients
GPS II Past Accepting new patients
Evergreen Center for Counseling, Inc Past Accepting new patients
John P McDonough III PastSince Oct 1, 2004 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

Organizations & group practices 6

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1477580504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 TODD ACRES DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366199237",
            "telephone_number": "727-422-4656",
            "fax_number": "888-369-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 TODD ACRES DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366199237",
            "telephone_number": "727-422-4656",
            "fax_number": "888-369-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOAG",
        "first_name": "TERRI",
        "middle_name": "LYNN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6019",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "258786",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06314900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "123249",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5031C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.