Tera Leah Biaggi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3696 Issued in OK

Practice address

11605 South Q
Ponca City, OK 74601

Phone

(580) 716-4787

NPI assigned

Dec 15, 2008

Sex

Female

Sole proprietor

No

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

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.

• Life Vision

  • Community/Behavioral Health Agency
  • Ponca City, OK
  • NPI 1699102640
  NPD (past) Authorized official

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1962647206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 SOUTH Q",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "74601",
            "telephone_number": "580-716-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 SOUTH Q",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "74601",
            "telephone_number": "580-716-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIAGGI",
        "first_name": "TERA",
        "middle_name": "LEAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Ernest Beller Jr.
• Jesalyn Dawn Bennett
• Mechelle Lynnette Bentley
• Stacy Heather Bergman
• Latasha Nicole Berry
• Katie Biby
• Leah E Biddle
• Tracey Lorann Biddle
• Bintz Pharmacy, Inc.
• Bintz Pharmacy, Inc.

• Clinical Social Worker in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.