Active NPI
Terri Liller, MSW, LISW-S, LICDC
- Clinical Social Worker
- Canfield, OH
National Provider Identifier
1730462201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I1303604-SUPV
- Practice address
- 7 Court St Ste 260
Canfield, OH 44406-1407 - Phone
- (330) 333-9559
- Fax
- (414) 234-0069
- NPI assigned
- Sep 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 161011 | OH | |
| Clinical Social Worker | 1041C0700X | I1303604-SUPV | OH | Primary |
Addresses
Primary practice location
7 Court St Ste 260
Canfield, OH 44406-1407
Mailing address
7 Court St Ste 260
Canfield, OH 44406-1407
Phone (330) 333-9559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0157389 | Medicaid | OH |
Other names 1
- Tenley L Davis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161011 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| I1303604-SUPV | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwoods Counseling LLC | Multi-Specialty | Past | Accepting new patients |
| Associates in Psychiatry, Inc. | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 2
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": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1730462201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 COURT ST STE 260",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444061407",
"telephone_number": "330-333-9559",
"fax_number": "414-234-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 COURT ST STE 260",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444061407",
"telephone_number": "330-333-9559",
"fax_number": "414-234-0069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLER",
"first_name": "TERRI",
"credential": "MSW, LISW-S, LICDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "161011",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I1303604-SUPV",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0157389",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TENLEY",
"last_name": "DAVIS",
"middle_name": "L",
"credential": "MSW,LISW-S,LICDC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Canfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.