Active NPI
Terri Peng
- Clinical Social Worker
- Allen, TX
National Provider Identifier
1659007391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 66655
- Practice address
- 945 Stockton Dr Unit 7100
Allen, TX 75013-6155 - Phone
- (469) 422-0376
- NPI assigned
- Jul 26, 2022
- 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 | 66655 | TX | Primary |
Addresses
Primary practice location
945 Stockton Dr Unit 7100
Allen, TX 75013-6155
Mailing address
945 Stockton Dr Unit 7100
Allen, TX 75013-6155
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 |
|---|---|---|---|
| 66655 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five Seasons Therapy PLLC | Clinical | Current | Accepting new patients |
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": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1659007391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 STOCKTON DR UNIT 7100",
"city": "ALLEN",
"state": "TX",
"postal_code": "750136155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 STOCKTON DR UNIT 7100",
"city": "ALLEN",
"state": "TX",
"postal_code": "750136155",
"telephone_number": "469-422-0376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENG",
"first_name": "TERRI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-26",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "66655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen, TX
- Eva Marie Pearl, SPEECH PATHOLOGIST
- Danielle Lauren Pedersen, M.A.
- Pediatric Ophthalmology Associates
- Pedova Home Health Services LLC
- Pelican Medical Specialists PLLC
- Penny 4 Your Thoughts Counseling, PLLC
- Perfect Pharmacy, LLC
- Sydney Janelle Perricone, M.S., CCC-SLP
- Jane Perry, CHIROPRACTOR
- Malcolm O Perry III, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.