Teresa Terrell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34001873 Issued in IN

Practice address

120 W 7TH St
Suite 104
Bloomington, IN 47404-3834

Phone

(812) 339-1551

Fax

(812) 339-1551

NPI assigned

Jan 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Centerstone of Indiana, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomington, IN
  • NPI 1972320224
  NPD (past)
• Family Service Association of Monroe County

  • Mental Health Counselor
  • Bloomington, IN
  • NPI 1841231677
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1609847417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 7TH ST",
            "address_2": "SUITE 104",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043834",
            "telephone_number": "812-339-1551",
            "fax_number": "812-339-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 7TH ST",
            "address_2": "SUITE 104",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043834",
            "telephone_number": "812-339-1551",
            "fax_number": "812-339-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "TERESA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34001873",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherley Margaret Tenefrancia, PT
• Sylvia M Ter Meer, RBT
• Teresa R Foster Counseling and Coaching LLC
• Terre Haute Home Health Care Products Inc
• Holly Lyne Terrell
• Leah J Terry, PTA, CMT
• Megan Terry
• Morgan Kelcee Terry, LCSW LSSW
• David William Tesar, MD
• Kristen Tetuan, LAT, ATC

• Clinical Social Worker in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.