MS. MARY ILENE TERRA LCSW
NPI 1962579524
Social Worker - Clinical in San Jose, CA
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
Specialties & Licenses
Other Identifiers 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Terra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95126
- Reassigned Medicare billing, California enrollment
- 101 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.
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.
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 JOSE, CA 95126
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 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.
Where is Mary Terra located?
Mary Terra practices at 2001 The Alameda, San Jose, CA 95126. The listed phone number is (408) 261-7777.
What is Mary Terra's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Mary Terra enrolled in Medicare?
Yes. Mary Terra 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 Mary Terra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Terra reassigns Medicare benefits to Momentum For Health (San Jose, CA). 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 Mary Terra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Ms. Mary Ilene Terra, LCSW · NPI 1962579524
Clinical provider in San Jose, California. Individual provider, active in the CMS NPPES registry since November 29, 2006.
## Identity
- **NPI:** 1962579524 (Entity type: Individual)
- **Enumerated:** November 29, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 15092 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2001 THE ALAMEDA, San Jose, CA 95126-1136
- **Phone:** (408) 261-7777 · **Fax:** (408) 248-6520
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Momentum For Health (NPI 1265131726, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** May 25, 2021
- **Other identifiers:** Medicaid 15014 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1962579524) · Data from the CMS NPPES public registry.