MS. MARY ILENE TERRA LCSW
NPI 1962579524
Social Worker - Clinical in San Jose, CA

Q: What is Mary Terra's NPI number?

The NPI number for Mary Terra is 1962579524. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Mary Terra's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Terra was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment

2001 THE ALAMEDA, SAN JOSE, CA 95126(408) 261-7777(408) 248-6520 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Mary Ilene Terra Lcsw NPPES

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

MS. MARY ILENE TERRA LCSW (NPI 1962579524) is an individual clinical provider in San Jose, California, licensed in California (15092) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1962579524

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. MARY ILENE TERRACredential: LCSW

Location Address2001 THE ALAMEDASan Jose, CA 95126-1136

Mailing Address2001 The AlamedaSan Jose, CA 95126-1136 · (408) 261-7777 · Fax (408) 248-6520

Phone(408) 261-7777

Fax(408) 248-6520

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateNovember 29, 2006

Last NPPES UpdateMay 25, 2021

NPPES CertifiedMay 25, 2021

✔ NPI 1962579524 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 CA · 15092

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.

2001 THE ALAMEDA, San Jose, CA 95126

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Other Identifiers 1

Medicaid15014CA

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

Ms. Mary Ilene Terra 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.

PECOS PAC ID2961747977

PECOS Enrollment IDI20181219003401

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95126 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 $70.37 – $206.04

Typical copayment $0.00 (range $17.59 – $51.51)

Most-billed visit code NA

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

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.

EDNA STOK

Student in an Organized Health Care Education/Training Program