MS. TERRI LEE WALLER LCSW
NPI 1992840284
Social Worker - Clinical in New Haven, CT

Active since February 21, 2007PECOS EnrolledAccepts Medicare Assignment
34 PARK ST, CONNECTICUT MENTAL HEALTH CENTER, NEW HAVEN, CT 06519(203) 974-7417(203) 974-7413 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Terri Lee Waller Lcsw NPPES

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

MS. TERRI LEE WALLER LCSW (NPI 1992840284) is an individual clinical provider in New Haven, Connecticut, licensed in (005627) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1992840284
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. TERRI LEE WALLERCredential: LCSW
Location Address34 PARK ST, CONNECTICUT MENTAL HEALTH CENTERNew Haven, CT 06519
Mailing Address34 Park St, Connecticut Mental Health Center Office Of Care MgmtNew Haven, CT 06519 · (203) 974-7417 · Fax (203) 974-7413
Fax(203) 974-7413
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1992840284 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 · 005627
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.
34 PARK ST, New Haven, CT 06519

Accepted 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

Ms. Terri Lee Waller 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 ID7719937317
PECOS Enrollment IDI20050131000612
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 06519 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Psychiatry & Neurology (Psychiatry)
34 PARK ST
NEW HAVEN, CT 06519
Psychiatry & Neurology (Psychiatry)
34 PARK ST, CONNECTICUT MENTAL HEALTH CENTER
NEW HAVEN, CT 06519
Psychologist (Clinical)
34 PARK ST, RM. B-38
NEW HAVEN, CT 06519
Psychiatry & Neurology (Psychiatry)
34 PARK ST, CONNECTICUT MENTAL HEALTH CENTER
NEW HAVEN, CT 06519
Psychiatry & Neurology (Psychiatry)
34 PARK ST, CONNECTICUT MENTAL HEALTH CENTER
NEW HAVEN, CT 06519
Student in an Organized Health Care Education/Training Program
34 PARK ST
NEW HAVEN, CT 06519
Student in an Organized Health Care Education/Training Program
34 PARK ST
NEW HAVEN, CT 06519
Nurse Practitioner (Psychiatric/Mental Health)
34 PARK ST, CONNECTICUT MENTAL HEALTH CENTER
NEW HAVEN, CT 06519

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 Waller's NPI number?

The NPI number for Terri Waller is 1992840284. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Terri Waller located?

Terri Waller practices at 34 Park St Connecticut Mental Health Center, New Haven, CT 06519. The listed phone number is (203) 974-7417.

What is Terri Waller's specialty?

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

Is Terri Waller enrolled in Medicare?

Yes. Terri Waller 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 Terri Waller accept?

Health plans from Providence Health Plan list Terri Waller 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 Waller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.