Provider / Organization | NPI | Date Certified |
---|---|---|
DEENA A TERRELL | 1669818811 | 2024-04-06 |
Deena A Terrell is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1669818811. Registration indicates Deena A Terrell is a provider of access to substance use disorder providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, ) (Other Service Providers, Military Health Care Provider) (Military Health Care Provider, ) (Military Health Care Provider, Other Service Providers) (Other Service Providers, Military Health Care Provider) (Military Health Care Provider, ) (Military Health Care Provider, Other Service Providers) (Other Service Providers, Case Manager/Care Coordinator) (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers) (Other Service Providers, Case Manager/Care Coordinator) (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Developmental Therapist) (Developmental Therapist, ) (Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Developmental Therapist) (Developmental Therapist, ) (Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Agencies, Case Management) (Case Management, ) (Case Management, Agencies) (Agencies, Case Management) (Case Management, ) (Case Management, Agencies) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
Registration | PART-B:Y DME:Y HHA:N PMD:N |
Entity Type | Individual |
Provider Name | Deena A Terrell LCSW, SAP, BC-TMH |
Practice Office Address | 11357 NUCKOLS RD # 1101 GLEN ALLEN, VA US |
Practice Office Telephone | 8049185572 |
Practice Office Fax | 8883483804 |
Mailing Address | 417 SIENA LN GLEN ALLEN, VA 230591114 US |
Business Telephone | 8049185572 |
Business Fax | 8883483804 |
Address | City / State | Phone / Fax |
---|---|---|
270 1st Ave | Toms River, NJ 087574817 | 8049185572 / 8883483804 |
Secure email address [] | [email protected] | Direct |
Email address [] | [email protected] | Direct |
Code | Practice | License No State |
---|---|---|
101YA0400X | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor | 0904009847
VA |
101YM0800X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | 0904009847
VA |
101YM0800X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | 44SC05933600
NJ |
1041C0700X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 44SC05933600
NJ |
171000000X | Other Service Providers Military Health Care Provider Military Health Care Provider Military Health Care Provider Other Service Providers | 0904009847
VA |
171000000X | Other Service Providers Military Health Care Provider Military Health Care Provider Military Health Care Provider Other Service Providers | 44SC05933600
NJ |
171M00000X | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers | 0904009847
VA |
171M00000X | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers | 44SC05933600
NJ |
222Q00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Developmental Therapist Developmental Therapist Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 0904009847
VA |
222Q00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Developmental Therapist Developmental Therapist Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 44SC05933600
NJ |
251B00000X | Agencies Case Management Case Management Case Management Agencies | 0904009847
VA |
251B00000X | Agencies Case Management Case Management Case Management Agencies | 44SC05933600
NJ |
1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 0904009847
VA |
193200000X MULT | Group Code | |
193200000X MULT | Group Code | |
193200000X MULT | Group Code | |
193200000X MULT | Group Code | |
193200000X MULT | Group Code | |
193200000X MULT | Group Code | |
193200000X MULT | Group Code | |
193200000X MULT | Group Code | |
193200000X MULT | Group Code | |
193200000X MULT | Group Code |
66016359 | MEDICAID | VA | |
0738140 | MEDICAID | NJ | |
44SC05933600 | MEDICAID | NJ | |
44SC05933600 | OTHER | NJ | NEW JERSEY STAT |
0904009847 | MEDICAID | VA | |
0904009847 | OTHER | VA | VIRGINIA DEPART |