MRS. TERRI WOODRUFF SMITH (NPI# 1114035219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114035219 |
| Entity Type | Individual |
| Full Name | MRS. TERRI WOODRUFF SMITH |
| Credential | LCSW |
| Practice Address |
1770 E Lakeshore Dr Suite 209 Decatur IL 62521 |
| Mailing Address |
1770 E Lakeshore Dr Suite 209 Decatuer IL 62521 |
| Practice Telephone | 2174236500 |
| Practice Fax Number | 2174236536 |
| Mailing Telephone | 2174236500 |
| Mailing Fax Number | 2174236536 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093290207 | Terri Smith | Dietitian, Registered | 3003 Miramonte Circle, Edmond, OK 73003-7300 | 2018-10-03 |
| 1861908782 | Terri Smith | Registered Nurse | 10141 University Ave Ne Ste 300, Blaine, MN 55434-8014 | 2017-12-15 |
| 1598168973 | Terri Smith | Marriage & Family Therapist | 2655 Dayview Ln, Atlanta, GA 30331-9514 | 2014-09-30 |
| 1194012476 | Terri J Smith | Nurse's Aide | 1028 Springbrook Dr, Cincinnati, OH 45224-1658 | 2011-07-07 |
| 1417043894 | Terri L Smith | Pediatrics | 307 East Madison Ave, Dumont, NJ 07628 | 2006-10-05 |
| 1104866284 | Terri Lee Smith | Dietitian, Registered | 6 Summit Rd, Marblehead, MA 01945-2813 | 2006-06-07 |
| 1346851169 | Terri Smith | Technician | 281 Maple Ave, Oak Hill, WV 25901-3475 | 2020-08-14 |
| 1255983953 | Terri Smith | Technician | 6128 W Sahara Ave, Las Vegas, NV 89146-3051 | 2019-07-12 |
| 1710543202 | Terri Smith | Case Manager/Care Coordinator | 6400 E Broad St Fl 4, Columbus, OH 43213-2086 | 2019-05-10 |
| 1205309085 | Terri Reynolds Smith | Speech-Language Pathologist | 2100 Conowingo Rd, Bel Air, MD 21014-1824 | 2019-01-04 |
| Street Address |
1770 E LAKESHORE DR SUITE 209 |
| City | DECATUR |
| State | IL |
| Zip Code | 62521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770642159 | Choudary V Kavuri | Counselor | 1770 E Lakeshore Dr, #208 Choudary V Kavuri Md Sc, Decatur, IL 62521 | 2006-12-08 |
| 1841394939 | Jerry Lynn Douglas | Psychiatry & Neurology | 1770 E Lakeshore Dr, Suite 209, Decatur, IL 62521 | 2006-09-11 |
| 1871601989 | Rohidas T. Patil | Psychiatry & Neurology | 1770 E Lakeshore Dr, Ste 209, Decatur, IL 62521-3823 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| Find all providers in zip 62521 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021390 | Psychemic | Psychiatry & Neurology | 125 Clairemont Ave Ste 205, Decatur, GA 30030-2558 | 2020-10-19 |
| 1548670144 | Yakov Rubinchik | Psychiatry & Neurology | 160 Clairemont Ave Ste 445, Decatur, GA 30030-2574 | 2014-05-05 |
| 1487884425 | Tamara Danielle Almeyda | Psychiatry & Neurology | 3073 Panthersville Rd Bldg 11, Decatur, GA 30034-3828 | 2009-07-24 |
| 1710151121 | Linda Harvey | Psychiatry & Neurology | 250 N Arcadia Ave, Decatur, GA 30030-2115 | 2008-04-16 |
| 1467625145 | Francelle W Okongwu | Psychiatry & Neurology | 3073 Panthersville Rd Bldg 5, Decatur, GA 30034-3828 | 2008-04-02 |
| 1790962827 | David Andrew Gutman | Psychiatry & Neurology | 200 Glenlake Commons Dr, Decatur, GA 30030-1585 | 2008-01-31 |
| 1245417344 | Kristin Nicole Weinschenk | Psychiatry & Neurology | 3110 Clifton Springs Road, Decatur, GA 30034 | 2008-01-30 |
| 1750574521 | Katharine Arnold Hilliard-yntema | Psychiatry & Neurology | 123 Melrose Ave, Decatur, GA 30030-2849 | 2007-08-24 |
| 1366566168 | Jean H Robinson | Psychiatry & Neurology | 214 Maediris Dr, Decatur, GA 30030-1114 | 2007-03-19 |
| 1174663496 | Robert Scott Hellard | Psychiatry & Neurology | 1606 Church St Se, Decatur, AL 35601-3402 | 2007-02-07 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.