Terraka Garner, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

42582 Issued in ID

Practice address

1001 N 7TH Ave Ste 160
Pocatello, ID 83201-5786

Phone

(208) 909-5177

NPI assigned

Oct 12, 2022

Last updated

Oct 12, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1659097673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2811",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834032811",
            "telephone_number": "208-909-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N 7TH AVE STE 160",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015786",
            "telephone_number": "208-909-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "TERRAKA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "42582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PracticeFushion",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "1001 N 7th Ave Ste 160",
            "city": "Pocatello",
            "state": "ID",
            "country_code": "US",
            "postal_code": "832015786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erinn Leigh Gardiner
• Eunice Grace Gardner, PH.D.
• Kayce N Gardner, PA-C
• Valerie Yancey Gardner, PHARMD
• Adam Garfield, P.A.
• Brittany Garrett, DPT
• Jennifer Lane Garrett
• Charles O Garrison, MD
• Gate City Physical Therapy
• Gateway Counseling Incorporated

• Clinical Social Worker in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.