Tera Duthie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009713 Issued in NC

Practice address

140 SW Broad St
Southern Pines, NC 28387-5405

Phone

(910) 585-6108

NPI assigned

Mar 8, 2017

Sex

Female

Sole proprietor

Yes

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

Enrolled in NC

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• True Mental Health & Wellness, PLLC

  • Clinical Social Worker
  • Southern Pines, NC
  • NPI 1588257448
  Medicare reassignment NPD Authorized official
• Robert C. Pennebaker PLLC

  dba Cumberland Behavioral Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, NC
  • NPI 1144657677

  Clinical

  NPD (past)

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1770023855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SW BROAD ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875405",
            "telephone_number": "910-585-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SW BROAD ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875405",
            "telephone_number": "910-585-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTHIE",
        "first_name": "TERA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allie W Dryman, LMBT
• Irvin Dubose
• Kimberly Dubose
• Heather N Dunning, LCSW
• Breana Dutcher
• Kortney Dwyer
• Heather Dyer
• E Squared Community Services LLC
• Ec Opco Southern Pines, LP (Elmcroft of Southern Pines)
• Ec Southern Pines Operations, LLC

• Clinical Social Worker in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.