Active NPI
Terri Lynn Merritt, MSW
- Clinical Social Worker
- Winston-Salem, NC
National Provider Identifier
1942337233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C002486
- Practice address
- 403 South Hawthorne Rd
Winston-Salem, NC 27157-1097 - Phone
- (336) 713-0267
- Fax
- (336) 716-0822
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C002486 | NC | Primary |
Addresses
Primary practice location
403 South Hawthorne Rd
Winston-Salem, NC 27157-1097
Mailing address
PO Box 571097
Winston-Salem, NC 27157-1097
Phone (336) 713-0267
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134V2 | Other | NC | BCBS |
| 6002951 | Medicaid | NC | |
| D8846 | Other | NC | MEDCOST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C002486 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carenet, Inc | Past | Accepting new patients | |
| Carenet, Inc. | Past | Accepting new patients | |
| Carenet Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Professional Counselor
- Winston Salem, NC
- NPI 1376432492
-
- Professional Counselor
- Lexington, NC
- NPI 1659946804
-
- Mental Health Counselor
- Winston Salem, NC
- NPI 1043424013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200614400000",
"number": "1942337233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 571097",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271571097",
"telephone_number": "336-713-0267",
"fax_number": "336-716-0822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 SOUTH HAWTHORNE RD",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271571097",
"telephone_number": "336-713-0267",
"fax_number": "336-716-0822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "TERRI",
"middle_name": "LYNN",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2008-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C002486",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "134V2",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002951",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "D8846",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winston-Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.