Individual provider Active NPI

Terrell Gorham Jr., MSW, LCSW

  • Clinical Social Worker
  • Frisco, TX
National Provider Identifier
1740726819
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107316 Issued in TX
Practice address
4220 Tributary Way
Frisco, TX 75034-1170
Phone
(318) 443-9035
Fax
(318) 443-9037
NPI assigned
Jan 13, 2017
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 14146 LA
Clinical Social Worker 1041C0700X 107316 TX Primary
Case Manager/Care Coordinator 171M00000X 14146 LA

Addresses

Primary practice location

4220 Tributary Way
Frisco, TX 75034-1170

Mailing address

4220 Tributary Way
Frisco, TX 75034-1170
Phone (318) 443-9035

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2904 Floyd St
Dallas, TX 75204-5910

4220 Tributary Way
Frisco, TX 75034-1170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14146LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bayou Mental Health Services, LLC. Past Accepting new patients

Organizations & group practices 1

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": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1740726819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 TRIBUTARY WAY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341170",
            "telephone_number": "318-443-9035",
            "fax_number": "318-443-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 TRIBUTARY WAY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341170",
            "telephone_number": "318-443-9035",
            "fax_number": "318-443-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORHAM",
        "first_name": "TERRELL",
        "name_suffix": "Jr.",
        "credential": "MSW,  LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-13",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "14146",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107316",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "14146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.