Individual provider · Type 1 NPI

Mary Ilene Terra, LCSW

Clinical Social Worker · San Jose, CA

NPI number 1962579524 Active

Practice location

2001 The Alameda
San Jose, CA 95126-1136

Call (408) 261-7777 Map

Fax (408) 248-6520

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X15092 (CA)

Clinical Social Worker: 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 interpers…

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About NPI 1962579524

Mary Ilene Terra, LCSW's National Provider Identifier is 1962579524, issued on Nov 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Jose, CA. The record was last updated on May 25, 2021.