TERESA TERRELL (NPI# 1609847417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609847417 |
| Entity Type | Individual |
| Full Name | TERESA TERRELL |
| Credential | LCSW |
| Practice Address |
120 W 7th St Suite 104 Bloomington IN 47404-3834 |
| Practice Telephone | 8123391551 |
| Practice Fax Number | 8123391551 |
| Mailing Telephone | 8123391551 |
| Mailing Fax Number | 8123391551 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2008-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
34001873 | IN | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34001873 | IN | Behavioral Health & Social Service Providers |
| Street Address |
120 W 7TH ST SUITE 104 |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47404-3834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790317931 | Miriam Selah Buthelezi | Marriage & Family Therapist | 120 W 7th St, Bloomington, IN 47404 | 2020-02-05 |
| 1811121270 | Margot Morgan | Counselor | 120 W 7th St, Suite 120, Bloomington, IN 47404-3834 | 2009-05-13 |
| 1316114887 | Matthew Alan Lucas | Marriage & Family Therapist | 120 W 7th St, Suite 104, Bloomington, IN 47404-3834 | 2008-05-13 |
| 1700092178 | Bethelyn Louise Crain | Social Worker | 120 W 7th St, Suiet 104, Bloomington, IN 47404-3834 | 2007-05-15 |
| 1164559944 | Meng Ai | Social Worker | 120 W 7th St, Suite 312, Bloomington, IN 47404-3834 | 2007-02-27 |
| 1366516452 | Andrew Jon Wincek | Social Worker | 120 W 7th St, Suite 312, Bloomington, IN 47404-3834 | 2006-11-20 |
| 1841231677 | Family Service Association of Monroe County | Counselor | 120 W 7th St, Suite 104, Bloomington, IN 47404-3834 | 2006-06-10 |
| 1164475349 | Jennifer M Myers | Counselor | 120 W 7th St, Suite 312, Bloomington, IN 47404-3834 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1750926085 | Michelle Christine Dustin | Nurse Practitioner | 610 N Morton Street, Bloomigton, IN 47404 | 2019-11-11 |
| 1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
| 1770966467 | Richard Lawson | Counselor | 1117 North Jackson Street, Bloomington, IN 47404 | 2015-06-30 |
| 1477952109 | Teresa R. Foster | Social Worker | 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 | 2014-08-19 |
| 1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
| 1497079982 | Tera Dee Nance | Counselor | 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 | 2010-03-26 |
| 1962643114 | Pathways Counseling Center | Community/Behavioral Health | 3866 W. Third Street, Bloomington, IN 47404 | 2009-03-18 |
| 1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
| 1396901005 | Kijin Woo | Dentist | 330 N Jacob Drive, Bloomington, IN 47404 | 2008-08-01 |
| Find all providers in zip 47404 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101875 | Leah Elizabeth Sinn Iversen | Social Worker | 518 N Colony Ct, Bloomington, IN 47408-3012 | 2020-07-06 |
| 1972128825 | Elizabeth Heid Counseling Services LLC | Social Worker | 2103 E Washington St Bldg 1, Bloomington, IL 61701-4310 | 2020-06-16 |
| 1144845389 | Debra Diann Terfruchte | Social Worker | 2001 Withers Ln, Bloomington, IL 61704-9069 | 2020-06-13 |
| 1144857301 | Megan Stahly | Social Worker | 827 W 14th Ct, Bloomington, IN 47404-3347 | 2020-03-26 |
| 1659906634 | The Healing Tree Psychotherapy and Consulting Services, LLC | Social Worker | 2103 E Washington St Ste 2g, Bloomington, IL 61701-4365 | 2020-03-10 |
| 1972147429 | Nina Maria Castronova | Social Worker | 1886 E Cheyanne Ln, Bloomington, IN 47401-4143 | 2019-10-28 |
| 1942852488 | Kaitlin King, LLC. | Social Worker | 408 E. Dodds, Bloomington, IN 47401-4819 | 2019-07-15 |
| 1215400791 | Elizabeth Therese Heid | Social Worker | 2302 E Oakland Ave Ste 7, Bloomington, IL 61701-5875 | 2019-01-07 |
| 1689143232 | James Baugh | Social Worker | 1408 S Walnut St Ste A, Bloomington, IN 47401-5888 | 2018-11-13 |
| 1306344007 | Jillian Gonterman | Social Worker | 804 N College Ave, Bloomington, IN 47404-3526 | 2018-01-28 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47404 |
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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.