Grace Terrazas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

219544 Issued in MA

Practice address

11 Belleview Ave
Marlborough, MA 01752-1201

Phone

(617) 398-0057

NPI assigned

Apr 19, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Renew Behavioral Health & Wellness

  • Clinical Social Worker
  • Marlborough, MA
  • NPI 1942906409
  NPD Authorized official
• Renew Behavioral Health and Wellness

  • Multi-Specialty Clinic/Center
  • Wayland, MA
  • NPI 1760043905

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1831489293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 WASHINGTON ST STE 8-182",
            "city": "SOUTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027038406",
            "telephone_number": "617-398-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BELLEVIEW AVE",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521201",
            "telephone_number": "617-398-0057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052060",
            "country_code": "US",
            "telephone_number": "508-296-8829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRAZAS",
        "first_name": "GRACE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "219544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Wilson Teeters
• Sabine Dorancy Tegum, NP
• Kysbel Nicole Tejada
• Tender Loving Care Health Care Services of New England, L.L.C.
• Gabriela Alejandra Teran Rivera
• Danyel Terrell
• Jaclyn Tessier
• Cady Maree Tetreault, COTA/L
• Natalie Rae Tetreault, RBT
• Sierra Teves

• Clinical Social Worker in Marlborough, MA
• Providers in Marlborough, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.