Individual provider Active NPI

Deena A Terrell, LCSW

  • Clinical Social Worker
  • Glen Allen, VA
National Provider Identifier
1669818811
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
129911 Issued in CA
Practice address
11357 Nuckols Rd # 1101
Glen Allen, VA 23059-5504
Phone
(804) 918-5572
Fax
(888) 348-3804
NPI assigned
May 15, 2013
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X 0904009847 VA
Military Health Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 171000000X 0904009847 VA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 44SC05933600 NJ
Military Health Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 171000000X 44SC05933600 NJ
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 0904009847 VA
Case Management Agency 251B00000X 44SC05933600 NJ
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X 44SC05933600 NJ
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X 44SC05933600 NJ
Case Management Agency 251B00000X 0904009847 VA
Clinical Social Worker 1041C0700X 129911 CA Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 44SC05933600 NJ
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 0904009847 VA
Clinical Social Worker 1041C0700X 0904009847 VA
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X 0904009847 VA

Addresses

Primary practice location

11357 Nuckols Rd # 1101
Glen Allen, VA 23059-5504

Mailing address

11357 Nuckols Rd # 1101
Glen Allen, VA 23059-5504
Phone (845) 200-6685

Other practice location 1

9 Bethel Rd # 10339
Somers Point, NJ 08244-1601
Phone (804) 918-5572

Other practice location 2

725 Welch Rd
Palo Alto, CA 94304-1601
Phone (800) 516-0975

Other identifiers 6

IdentifierTypeStateIssuer
66016359MedicaidVA
44SC05933600OtherNJNEW JERSEY STATE BOARD OF SOCIAL WORK EXAMINERS
0738140MedicaidNJ
0904009847OtherVAVIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
0904009847MedicaidVA
44SC05933600MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171024000295 VA Practitioner - Clinical Social Worker 7315213139 Reassigns benefits to 1 organization
Practice locations: North Chesterfield, VA
I20260320001339 VA Practitioner - Clinical Social Worker 7315213139 Practice locations: Henrico, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Henrico, VA 23231
Phone (804) 806-3696

11357 Nuckols Rd
Suite 1101
Glen Allen, VA 23059-5504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05933600NJMDMilitary Health Care Provider

Practice roles

OrganizationSpecialtyStatusNew patients
Rhodium Care Group Inc Social Worker CurrentSince Jan 22, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Nu Vision Counseling & Consulting Services, LLC Case Management PastSince Oct 4, 2020 Accepting new patients

Locations

8830 Virginia St
Amelia Ct Hse, VA 23002
Phone (804) 561-5611

Interoperability endpoints

  • Direct secure messaging: deenaterrell@tdh.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1669818811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11357 NUCKOLS RD # 1101",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595504",
            "telephone_number": "845-200-6685",
            "fax_number": "888-348-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11357 NUCKOLS RD # 1101",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595504",
            "telephone_number": "804-918-5572",
            "fax_number": "888-348-3804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Bethel Rd # 10339",
            "address_purpose": "LOCATION",
            "city": "Somers Point",
            "state": "NJ",
            "postal_code": "082441601",
            "country_code": "US",
            "telephone_number": "804-918-5572",
            "fax_number": "888-348-3804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 Welch Rd",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041601",
            "country_code": "US",
            "telephone_number": "800-516-0975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "DEENA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
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            "state": "VA",
            "license": "0904009847",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Military Health Care Provider",
            "state": "VA",
            "license": "0904009847",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05933600",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Military Health Care Provider",
            "state": "NJ",
            "license": "44SC05933600",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904009847",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": "44SC05933600",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": "NJ",
            "license": "44SC05933600",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "NJ",
            "license": "44SC05933600",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "VA",
            "license": "0904009847",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "129911",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC05933600",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0904009847",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009847",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": "VA",
            "license": "0904009847",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66016359",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY STATE BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "44SC05933600",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0738140",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS",
            "identifier": "0904009847",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0904009847",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44SC05933600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.