Ms Porsche Monic Terry, LCSW is a
Social Worker - Clinical based in Rancho Cucamonga, California. Ms Porsche Monic Terry is licensed to practice in California (license number 64683) and her current practice location is
6949 Saddleback Pl, Rancho Cucamonga, California. She can be reached at her office (for appointments etc.) via phone at
(909) 353-3760.
NPI number for Ms Porsche Monic Terry is 1043528383 and her current mailing address is 6949 Saddleback Pl, Rancho Cucamonga, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043528383.
Healthcare Provider's Profile
| Full Name | Ms Porsche Monic Terry |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 6949 Saddleback Pl, Rancho Cucamonga, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1043528383
- Provider Enumeration Date: 09/21/2010
- Last Update Date: 04/17/2023
Medical Identifiers
Medical identifiers for Ms Porsche Monic Terry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043528383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ASW28940 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 64683 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Porsche Monic Terry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Porsche Monic Terry, LCSW
6949 Saddleback Pl,
Rancho Cucamonga, CA 91701-4853
Ph: (909) 353-3760 | Ms Porsche Monic Terry, LCSW
6949 Saddleback Pl,
Rancho Cucamonga, CA 91701-4853
Ph: (909) 353-3760 |
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