Terrie Lynn Pendleton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09004004927 Issued in VA

Practice address

5002 Monument Ave
Ste 201
Richmond, VA 23230-3634

Phone

(804) 497-4676

Fax

(804) 497-4677

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifesource of North CarolinaGroup PAC ID 7416132428, 172 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lifesource of North Carolina

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1114419124
  Medicare reassignment Care Compare group NPD
• Rhodium Care Group Inc

  • Psychologist
  • Lakewood, NJ
  • NPI 1235853698

  VA

  Medicare reassignment NPD
• Agewell Counseling LLC

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1225517642
  NPD (past) Authorized official
• Lifesource of North Carolina

  • Psychologist
  • Milton, FL
  • NPI 1730648288

  Clinical

  NPD
• Chapman Senior Care, Inc.

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1669439691
  NPD (past)
• National Counseling Group, Inc

  • Mental Health Counselor
  • Richmond, VA
  • NPI 1710070545
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639262132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 MONUMENT AVE",
            "address_2": "STE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303634",
            "telephone_number": "804-497-4676",
            "fax_number": "804-497-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 MONUMENT AVE",
            "address_2": "STE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303634",
            "telephone_number": "804-497-4676",
            "fax_number": "804-497-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "TERRIE",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "09004004927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Showalter Pence, MD
• Jonathan Pender, MS, NP
• Laura C Pendlebury, M.D.
• Brooke Keplinger Pendleton
• Michelle Pendleton, DPT
• Kausalya Pendyal, M.D.
• April Viola Penn
• Erin Smith Pennington
• Joseph Daniel Pennington, MD
• Peter Pennington, LPC

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.