Individual provider Active NPI

Tera Bell, LICSW

  • Clinical Social Worker
  • Kennewick, WA
National Provider Identifier
1952816647
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60698194 Issued in WA
Practice address
5025 W Clearwater Ave Ste B
Kennewick, WA 99336-1911
Phone
(509) 308-1756
NPI assigned
Dec 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60698194 WA Primary

Addresses

Primary practice location

5025 W Clearwater Ave Ste B
Kennewick, WA 99336-1911

Mailing address

5025 W Clearwater Ave Ste B
Kennewick, WA 99336-1911
Phone (509) 308-1756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20180712000786 WA Practitioner - Clinical Social Worker 3274888045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5025 W Clearwater Ave
Suite B
Kennewick, WA 99336-1911
Phone (509) 308-1756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Social Work Link, Professional Limited Liability Company CurrentSince May 1, 2018 Accepting new patients

Locations

5025 W Clearwater Ave
Ste B
Kennewick, WA 99336
Phone (509) 308-1756

400 Columbia Point Dr
Ste 201B
Richland, WA 99352
Phone (509) 308-1756

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": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1952816647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 W CLEARWATER AVE STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361911",
            "telephone_number": "509-308-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 W CLEARWATER AVE STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361911",
            "telephone_number": "509-308-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "TERA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60698194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.