Individual provider Active NPI

Kevin Terrill

  • Clinical Social Worker
  • Mashpee, MA
National Provider Identifier
1649690033
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110582 Issued in MA
Practice address
2 Oak Street
Suite 201
Mashpee, MA 02649
Phone
(508) 530-0221
NPI assigned
Apr 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110582 MA Primary

Addresses

Primary practice location

2 Oak Street
Suite 201
Mashpee, MA 02649

Mailing address

PO Box 886
Mashpee, MA 02649-0886

Other practice location 1

134 Ansel Hallet Rd
West Yarmouth, MA 02673-2582
Phone (774) 470-2294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20140714001654 MA Practitioner - Clinical Social Worker 6608091376 Reassigns benefits to 1 organization
Practice locations: Mashpee, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 Oak St
Suite 201
Mashpee, MA 02649-3122
Phone (508) 539-0221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110582MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Terrill Therapy Inc Clinical CurrentSince Sep 1, 2022 Accepting new patients

Locations

2 Oak St
Ste 201
Mashpee, MA 02649
Phone (508) 539-0221

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1649690033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 886",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026490886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OAK STREET",
            "address_2": "SUITE 201",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "02649",
            "telephone_number": "508-530-0221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Ansel Hallet Rd",
            "address_purpose": "LOCATION",
            "city": "West Yarmouth",
            "state": "MA",
            "postal_code": "026732582",
            "country_code": "US",
            "telephone_number": "774-470-2294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRILL",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-24",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

Verify at the official NPI Registry.