Active NPI
Terrence Kevin Maher, LCSW
- Clinical Social Worker
- Orange, CA
National Provider Identifier
1669554143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW27238
- 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
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW27238 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways to Wellness | Past | Accepting new patients | |
| Nancy D Young PHD | Past | 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.
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- Psychiatry Physician
- Fullerton, CA
- NPI 1467551200
-
- Clinical Psychologist
- Costa Mesa, CA
- NPI 1205862224
-
- Clinical Psychologist
- Costa Mesa, CA
- NPI 1104029784
-
- Community/Behavioral Health Agency
- Costa Mesa, CA
- NPI 1366984213
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.