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TERRI THAO LE SHIMIZU
NPI 1508574591
Social Worker - Clinical in Philadelphia, PA

Active since November 09, 2022PECOS Enrolled
3900 WOODLAND AVE, PHILADELPHIA, PA 19104(215) 983-2206 Get Directions Write a Review

NPPES record last updated: November 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Terri Thao Le Shimizu NPPES

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

TERRI THAO LE SHIMIZU (NPI 1508574591) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (CW020084) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1508574591
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTERRI THAO LE SHIMIZU
Location Address3900 WOODLAND AVEPhiladelphia, PA 19104-4551
Mailing Address440 W Woodland AvePenndel, PA 19047-5130 · (267) 577-6281
Phone(215) 983-2206
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 9, 2022
NPPES CertifiedNovember 9, 2022
✔ NPI 1508574591 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 PA · CW020084
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.
3900 WOODLAND AVE, Philadelphia, PA 19104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Terri Thao Le Shimizu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365915824
PECOS Enrollment IDI20260625002842
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.

Medicare Billing Reassignment

Medicare enrollment records show Terri Shimizu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optum Behavioral Care Of Ohio, Inc
1,923 mi
Counseling
310 E 4500 S STE 600
Murray, UT 84107
  • Reassigned Medicare billing, Utah enrollment
  • 17 clinicians in this Medicare group
NPI 1942076633 (801) 264-9522

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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 $59.88 – $180.99
Typical copayment $0.00 (range $14.97 – $45.24)
Most-billed visit code NA
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 20

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

MEREDITH A SPINDLER MD
Psychiatry & Neurology (Neurology)
3900 WOODLAND AVE, PADRECC, #127
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5800
DENIS MICHAEL CAREY LCSW
Social Worker (Clinical)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Philadelphia County (267) 292-7700
RONALD ANDREW SPOTTS CAADC
Counselor (Addiction (Substance Use Disorder))
3900 WOODLAND AVE, ADDICTION RECOVERY UNIT 7TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5800
CAROL BUHRMAN RD
Dietitian, Registered (Nutrition, Gerontological)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5800
MS. CARLA PATRICE CLEMENTS RN, CRNP
Nurse Practitioner (Acute Care)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5800
DR. FAUZIA HUSSAIN PHARM.D.
Pharmacist (Pharmacotherapy)
3900 WOODLAND AVE, PHARMACY SERVICE #119
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-4153
MR. FREDRICK W CLAUSS MPT
Physical Therapist
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5800
DR. LEAH C JONES M.D.
Internal Medicine
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5967

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 Terri Shimizu's NPI number?

The NPI number for Terri Shimizu is 1508574591. It was assigned to this individual provider in the NPPES registry on November 9, 2022.

Where is Terri Shimizu located?

Terri Shimizu practices at 3900 Woodland Ave, Philadelphia, PA 19104. The listed phone number is (215) 983-2206.

What is Terri Shimizu's specialty?

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

Is Terri Shimizu enrolled in Medicare?

Yes. Terri Shimizu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Terri Shimizu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terri Shimizu reassigns Medicare benefits to Optum Behavioral Care Of Ohio, Inc (Murray, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Terri Shimizu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Terri Shimizu accept?

Health plans from Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Terri Shimizu 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.

When was this NPI record last updated?

The NPPES record for Terri Shimizu was last updated on November 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.