Individual provider Active NPI

Darlene Holland Terry, LCSW

  • Clinical Social Worker
  • Tuscaloosa, AL
National Provider Identifier
1902995046
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-07570 Issued in NM
Practice address
13 Beverly HTS
Tuscaloosa, AL 35404-2911
Phone
(205) 242-6919
Fax
(205) 737-7615
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 05101188C AL
Clinical Social Worker 1041C0700X I-07570 NM Primary

Addresses

Primary practice location

13 Beverly HTS
Tuscaloosa, AL 35404-2911

Mailing address

13 Beverly HTS
Tuscaloosa, AL 35404-2911
Phone (205) 242-6919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20220613001631 AL Practitioner - Clinical Social Worker 4880979376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifecare Wellness Counseling, LLCGroup PAC ID 3779961370, 3 clinicians

Practice addresses (Care Compare)

1830 4TH St
Tuscaloosa, AL 35401-1529
Phone (205) 579-9299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05101188CALMDClinical Social Worker
I-07570NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare Wellness Counseling LLC CurrentSince Apr 19, 2022 Accepting new patients

Locations

1830 4th St
Tuscaloosa, AL 35401
Phone (205) 462-3783

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902995046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BEVERLY HTS",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354042911",
            "telephone_number": "205-242-6919",
            "fax_number": "205-737-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BEVERLY HTS",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354042911",
            "telephone_number": "205-242-6919",
            "fax_number": "205-737-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "DARLENE",
        "middle_name": "HOLLAND",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "05101188C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-07570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.