TERRY VILLACRUZ LCSW
NPI 1639519036
Social Worker - Clinical in San Diego, CA
About Terry Villacruz Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERRY VILLACRUZ LCSW (NPI 1639519036) is an individual clinical provider in San Diego, California, licensed in California (LCS12972) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (1984).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Terry Villacruz Lcsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Terry Villacruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mountlake Terrace, WA 98043
- Reassigned Medicare billing, Washington enrollment
- 777 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN DIEGO, CA 92110
SAN DIEGO, CA 92110
SAN DIEGO, CA 92110
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 Terry Villacruz's NPI number?
The NPI number for Terry Villacruz is 1639519036. It was assigned to this individual provider in the NPPES registry on June 28, 2013.
Where is Terry Villacruz located?
Terry Villacruz practices at 3853 Rosecrans St, San Diego, CA 92110. The listed phone number is (619) 692-8232.
What is Terry Villacruz's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Terry Villacruz enrolled in Medicare?
Yes. Terry Villacruz 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.
Which organization bills Medicare for Terry Villacruz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Terry Villacruz reassigns Medicare benefits to Mindful Therapy Group PC (Mountlake Terrace, WA). 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 Terry Villacruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Terry Villacruz accept?
Health plans from BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Terry Villacruz 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 Terry Villacruz was last updated on June 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Terry Villacruz, LCSW · NPI 1639519036
Clinical provider in San Diego, California. Individual provider, active in the CMS NPPES registry since June 28, 2013.
## Identity
- **NPI:** 1639519036 (Entity type: Individual)
- **Enumerated:** June 28, 2013
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LCS12972 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3853 ROSECRANS ST, San Diego, CA 92110-3115
- **Phone:** (619) 692-8232 · **Fax:** (619) 542-4060
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mindful Therapy Group PC (NPI 1316238678, Mountlake Terrace, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1984
## Record status
- **NPPES last updated:** June 28, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1639519036) · Data from the CMS NPPES public registry.