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TERENCE ANDREW HAMBLETON LMSW
NPI 1306901632
Social Worker - Clinical in Grand Rapids, MI

Active since December 27, 2006PECOS EnrolledAccepts Medicare Assignment
300 LAFAYETTE SE, STE 3200, GRAND RAPIDS, MI 49503(616) 685-6920(616) 685-5110 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2024, Aug 19, 2022, Jul 22, 2019 (3 updates tracked since 2019).

About Terence Andrew Hambleton Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERENCE ANDREW HAMBLETON LMSW (NPI 1306901632) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801085842) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1306901632
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTERENCE ANDREW HAMBLETONCredential: LMSW
Location Address300 LAFAYETTE SE, STE 3200Grand Rapids, MI 49503
Mailing AddressPo Box 776974Chicago, IL 60677-6974
Phone(616) 685-6920
Fax(616) 685-5110
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateDecember 27, 2006
Last NPPES UpdateMay 3, 20243 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
✔ NPI 1306901632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801085842
Definition
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.
300 LAFAYETTE SE, Grand Rapids, MI 49503
Open in Google Maps ↗

Other Identifiers 1

Medicaid1306901632MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Terence Andrew Hambleton Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688727977
PECOS Enrollment IDI20090804000518
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA E STANFORD MD
Family Medicine
300 LAFAYETTE SE, STE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 685-6922
AISHAT OREDEGBE MD
Family Medicine
300 LAFAYETTE SE, SUITE 4000
GRAND RAPIDS, MI 49503
Kent County (616) 685-6922
EMILIE A COLLINS MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
300 LAFAYETTE SE, STE 2045
GRAND RAPIDS, MI 49503
Kent County (616) 685-3098
SHERRY KUO DO
Internal Medicine (Pulmonary Disease)
300 LAFAYETTE SE, STE 3200
GRAND RAPIDS, MI 49503
Kent County (616) 685-6920
NASIR KHAN MD
Internal Medicine
300 LAFAYETTE SE, STE 3000
GRAND RAPIDS, MI 49503
Kent County (616) 752-6919
JAMES P PASSINAULT MD
Internal Medicine
300 LAFAYETTE SE, STE 3000
GRAND RAPIDS, MI 49503
Kent County (616) 752-6919
DR. COURTNEY ANN SOUBLIERE DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
300 LAFAYETTE SE, STE 2045
GRAND RAPIDS, MI 49503
Kent County (616) 685-3098
ANIKA RISDEN MD
Family Medicine
300 LAFAYETTE SE, SUITE 4000
GRAND RAPIDS, MI 49503
Kent County (616) 685-6922

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terence Hambleton's NPI number?

The NPI number for Terence Hambleton is 1306901632. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Terence Hambleton located?

Terence Hambleton practices at 300 Lafayette SE Ste 3200, Grand Rapids, MI 49503. The listed phone number is (616) 685-6920.

What is Terence Hambleton's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Terence Hambleton enrolled in Medicare?

Yes. Terence Hambleton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Terence Hambleton accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Terence Hambleton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Terence Hambleton affiliated with any hospitals?

According to CMS data, Terence Hambleton is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Terence Hambleton was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.