Individual provider Active NPI

Terri C Liticker, LCSW

  • Clinical Social Worker
  • Mesquite, TX
National Provider Identifier
1740431071
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31087 Issued in TX
Practice address
2300 Pittsburg LNDG
Mesquite, TX 75181-4606
Phone
(972) 222-0204
Fax
(972) 222-0204
NPI assigned
Oct 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 31087 TX Primary

Addresses

Primary practice location

2300 Pittsburg LNDG
Mesquite, TX 75181-4606

Mailing address

2300 Pittsburg LNDG
Mesquite, TX 75181-4606
Phone (972) 222-0204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240809003619 TX Practitioner - Clinical Social Worker 0345386389 Practice locations: Mesquite, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18601 LBJ Fwy
Suite 480
Mesquite, TX 75150-6435
Phone (214) 587-3454

18601 LBJ Fwy 480
Mesquite, TX 75150-6435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Opes Clinical Past Accepting new patients
Mauney & Associates, LLC Past Accepting new patients
C4K LLC Past Accepting new patients
Assurasource LTD Clinical PastSince Apr 10, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1740431071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 PITTSBURG LNDG",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751814606",
            "telephone_number": "972-222-0204",
            "fax_number": "972-222-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PITTSBURG LNDG",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751814606",
            "telephone_number": "972-222-0204",
            "fax_number": "972-222-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITICKER",
        "first_name": "TERRI",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "31087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.