Terrice Bell

Individual provider Active NPI Clinical Social Worker · Valley Streams, NY

NPI 1669970273 · NPPES record last updated Jan 29, 2018

Key facts

NPI
1669970273
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
100506 (NY)
Practice address
50 W Hawthorne Avenue
Valley Streams, NY 11580
Phone
(917) 324-3349
NPI assigned
Jan 29, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 100506 NY Yes

Addresses

Primary practice location

50 W Hawthorne Avenue
Valley Streams, NY 11580

Mailing address

21848 139TH Ave
Springfield Gardens, NY 11413-2652

Sources for this page

Verify at the official NPI Registry.