Active NPI
Eloise Terry, LCSW
- Clinical Social Worker
- West Lake Hills, TX
National Provider Identifier
1528550886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 61062
- Practice address
- 3355 Bee Caves Rd Ste 508
West Lake Hills, TX 78746-6682 - Phone
- (512) 659-6263
- NPI assigned
- Jun 3, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 61062 | TX | Primary |
Addresses
Primary practice location
3355 Bee Caves Rd Ste 508
West Lake Hills, TX 78746-6682
Mailing address
3355 Bee Caves Rd Ste 508
West Lake Hills, TX 78746-6682
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61062 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527984000000",
"number": "1528550886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 BEE CAVES RD STE 508",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 BEE CAVES RD STE 508",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466682",
"telephone_number": "512-659-6263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "ELOISE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-03",
"last_updated": "2018-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "61062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lake Hills, TX
- Teahouse Counseling
- Ted L Edwards Jr MD PA (The Hills Medical Group)
- Teen Therapy Austin
- Lila Tenenbown, MSN, APRN, PMHNP-BC
- Lakshmi VS Tenneti, MD
- Julia Elizabeth Terstriep, LMFT-A
- Monty B. Tew, MD
- Texas Cardiovascular Consultants, P.a.
- Texas Child Psychological Services, PLLC
- Texas Compounding Pharmacy LLC (True Custom Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.