Active NPI
Karen Terry, LCSW
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1497826234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C008020
- Practice address
- Southeastern Healthcare of NC
3401 Carl Sandburg Court
Raleigh, NC 27610 - Phone
- (919) 943-6940
- Fax
- (919) 575-7146
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-357 | CO | |
| Clinical Social Worker | 1041C0700X | C008020 | NC | Primary |
Addresses
Primary practice location
Southeastern Healthcare of NC
3401 Carl Sandburg Court
Raleigh, NC 27610
Mailing address
100 H Street
Butner, NC 27509
Phone (919) 575-7928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-357 | CO | MD | Clinical Social Worker |
| C008020 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1497826234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 H STREET",
"city": "BUTNER",
"state": "NC",
"postal_code": "27509",
"telephone_number": "919-575-7928",
"fax_number": "919-575-7146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SOUTHEASTERN HEALTHCARE OF NC",
"address_2": "3401 CARL SANDBURG COURT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27610",
"telephone_number": "919-943-6940",
"fax_number": "919-575-7146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "KAREN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "LCSW-357",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C008020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.