Brandy Terrell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005227A Issued in IN

Practice address

488 W Hospital Rd
Paoli, IN 47454-8807

Phone

(812) 482-3020

Fax

(812) 482-6409

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: brandyterrell@sichc.allscriptsdirect.net

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.

• Southern Indiana Community Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Orleans, IN
  • NPI 1356911390
  NPD (past)
• Southern Indiana Community Health Care, Inc

  • Family Medicine Physician
  • English, IN
  • NPI 1457474009
  NPD (past)
• Transitions Recovery, LLC

  • Clinic/Center
  • Bedford, IN
  • NPI 1538622899
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730274580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 769",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475470769",
            "telephone_number": "812-482-3020",
            "fax_number": "812-482-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 W HOSPITAL RD",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474548807",
            "telephone_number": "812-482-3020",
            "fax_number": "812-482-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "BRANDY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005227A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Renae Stout, FNP, NP-C
• Angela Dawn Stroud, OTR
• Joel Stroud, P.T.
• Heather Sturgill
• Veronika Sukupova, LSW
• Heather L. Terwiske, MSW, LSW
• Jaclynn Marie Thacker, APRN, NP-C
• Total Renal Care Inc
• Michael K Vanemon, DDS
• Wal-Mart Stores East LP

• Clinical Social Worker in Paoli, IN
• Providers in Paoli, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.