Individual provider Active NPI

Terrence Kevin Maher, LCSW

  • Clinical Social Worker
  • Orange, CA
National Provider Identifier
1669554143
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW27238 Issued in CA
Practice address
800 N Eckhoff St
Orange, CA 92868-1008
Phone
(714) 704-8814
Fax
(714) 704-8806
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 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 LCSW27238 CA Primary

Addresses

Primary practice location

800 N Eckhoff St
Orange, CA 92868-1008

Mailing address

12 Fulmar LN
Aliso Viejo, CA 92656-1709
Phone (714) 376-3574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20111121000087 CA Practitioner - Clinical Social Worker 2567636004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Southern California Keck School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunny Hills Behavioral Health IncGroup PAC ID 0244299139, 7 clinicians

Practice addresses (Care Compare)

140 E Commonwealth Ave
Suite 101
Fullerton, CA 92832-1905
Phone (714) 773-4111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW27238CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways to Wellness PastSince Sep 19, 2017 Accepting new patients
Nancy D Young PHD PastSince Jul 31, 2011 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1669554143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 FULMAR LN",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926561709",
            "telephone_number": "714-376-3574",
            "fax_number": "714-704-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N ECKHOFF ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681008",
            "telephone_number": "714-704-8814",
            "fax_number": "714-704-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "TERRENCE",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW27238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.