Active NPI
Sally Terranova, LMSW
- Social Worker
- Bridgeton, MO
National Provider Identifier
1568289361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3751 Pennridge Dr Ste 119
Bridgeton, MO 63044-1244 - Phone
- (314) 239-2728
- Fax
- (949) 561-4148
- NPI assigned
- Sep 23, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
3751 Pennridge Dr Ste 119
Bridgeton, MO 63044-1244
Mailing address
4129 Fillmore St
Saint Louis, MO 63116-2916
Phone (914) 819-3368
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1568289361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4129 FILLMORE ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631162916",
"telephone_number": "914-819-3368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3751 PENNRIDGE DR STE 119",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630441244",
"telephone_number": "314-239-2728",
"fax_number": "949-561-4148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRANOVA",
"first_name": "SALLY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-23",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
- TCP1, LLC (The Corner Pharmacy)
- Gemma L Tedeschi, OTR/L
- Lisa K. Tenhouse, MSW
- Clarice Tennessen-Jensen, PHARMD
- Durwood Alan Tenny, OTR/L
- Terry Egan DDS LLC
- The Ambulatory Surgical Center of St. Louis, LP (The Surgical Center of St. Louis)
- The Doretha Buie Center, LLC
- David A Theodoro, M.D.
- Kristi Lynn Theriot, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.