JAMES KALEOLANI PULIDO TERRY (NPI# 1134777261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134777261 |
| Entity Type | Individual |
| Full Name | JAMES KALEOLANI PULIDO TERRY |
| Credential | LCSW |
| Practice Address |
5511 Staples Mill Rd Richmond VA 23228-5445 |
| Mailing Address |
5511 Staples Mill Rd Ste 102 Richmond VA 23228-5445 |
| Practice Telephone | 5404467458 |
| Practice Fax Number | 8044220207 |
| Mailing Telephone | 5404467458 |
| Mailing Fax Number | 8044220207 |
| Enumeration Date | 2019-09-02 |
| Last Update Date | 2019-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904010628 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194257261 | James Mason Terry | Dentist | 49 Briar Hollow Lane #101, Houston, TX 77027 | 2017-03-29 |
| 1043850506 | James Bennett Terry | Pharmacist | 111 Towne Dr, Elizabethtown, KY 42701-8460 | 2020-01-13 |
| 1144242512 | James R Terry | Family Medicine | 3024 Highway 121, Bedford, TX 76021-4037 | 2006-07-24 |
| Street Address |
5511 STAPLES MILL RD |
| City | RICHMOND |
| State | VA |
| Zip Code | 23228-5445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619078722 | Intercept Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5511 Staples Mill Rd, Suite 102, Richmond, VA 23228-5445 | 2006-09-25 |
| 1528579422 | Nicole Alexandra Piggott | Social Worker | 5511 Staples Mill Rd, Richmond, VA 23228-5445 | 2017-10-18 |
| 1558808329 | Intercept Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 5511 Staples Mill Rd, Suite 102, Richmond, VA 23228-5445 | 2017-01-31 |
| 1174067029 | Katharine Head | Social Worker | 5511 Staples Mill Rd, Suite 300, Richmond, VA 23228-5445 | 2016-12-12 |
| 1558804922 | Christy Damrath | Social Worker | 5511 Staples Mill Rd, 300, Richmond, VA 23228-5445 | 2016-12-02 |
| 1366985228 | Gideon Javna | Social Worker | 5511 Staples Mill Rd, Suite 300, Richmond, VA 23228-5445 | 2016-11-28 |
| 1043691413 | Alison Lynn Youmell | Social Worker | 5511 Staples Mill Rd, Suite 300, Richmond, VA 23228-5445 | 2015-06-11 |
| 1801287966 | Monica Renee Flanagan | Social Worker | 5511 Staples Mill Rd, Suite 102, Richmond, VA 23228-5445 | 2015-02-11 |
| 1245667062 | Zachary Mccormick Gibson | Counselor | 5511 Staples Mill Rd, Richmond, VA 23228-5445 | 2013-10-11 |
| 1871932285 | Intercept Youth Services Inc | Community/Behavioral Health | 5511 Staples Mill Rd, Suite 102, Richmond, VA 23228-5445 | 2013-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992356976 | Nimos Trans LLC | Non-emergency Medical Transport (VAN) | 5608 Tumbleweed Cr. Apt (h), Henrico, VA 23228 | 2019-09-21 |
| 1245890433 | Laura Mary Walton | Counselor | 5500 Staples Mill Road, Richmond, VA 23228 | 2019-06-19 |
| 1841859121 | Rachel S Ford | Behavior Technician | 1640 E. Parham Road, Richmond, VA 23228 | 2019-06-10 |
| 1932766631 | Nathan Ellis | Behavior Technician | 1640 East Parham Road, Richmond, VA 23228 | 2019-05-29 |
| 1922545268 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 4008 E Parham Rd., Henrico, VA 23228 | 2017-01-25 |
| 1205371663 | Simple Solutions Psychiatry | Community/Behavioral Health | 4321 Kanipe Ct, Richmond, VA 23228 | 2016-12-21 |
| 1417406224 | Dan A Kniffen Lcsw LLC | Counselor | 4100 East Parham Road, Suite B, Henrico, VA 23228 | 2016-09-22 |
| 1316334394 | Bobbi Southard | Specialist/Technologist | 8301 Hungary Spring Road, Richmond, VA 23228 | 2015-04-17 |
| 1265836050 | Crystal Mcfaddin | Nurse Practitioner | 4301 East Parham Road, Henrico, VA 23228 | 2014-10-22 |
| 1013352376 | Pooja Rao | Internal Medicine | 4100 New Hermitage Dr, Henrico, VA 23228 | 2013-04-30 |
| Find all providers in zip 23228 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709714 | Jennifer Lynn Sistrunk | Social Worker | 5608 Riverside Heights Way, Richmond, VA 23225-2478 | 2020-10-29 |
| 1023618311 | John Francis Feeney | Social Worker | 1108 E Main St Ste 900, Richmond, VA 23219-3522 | 2020-10-27 |
| 1891394839 | Amanda Firestone LLC | Social Worker | 2804 Griffin Ave, Richmond, VA 23222-3629 | 2020-10-21 |
| 1306443312 | Higgins Center for Healing, LLC | Social Worker | 3311 W Broad St # 212, Richmond, VA 23230-5000 | 2020-10-02 |
| 1902410400 | Libby Tofflemire | Social Worker | 601 Boroughbridge Rd, Richmond, VA 23225-6218 | 2020-09-02 |
| 1275146235 | Chelsea Barbara Hooker | Social Worker | 444 Kingstown Rd, Richmond, RI 02892-1105 | 2020-08-28 |
| 1649883232 | Silka Graciela Steele | Social Worker | 700 Everett St Apt 2135, Richmond, VA 23224-0015 | 2020-08-25 |
| 1588275770 | Melani Jones | Social Worker | 10825 Midlothian Turnpike Ste 201r, Richmond, VA 23235 | 2020-08-12 |
| 1427668706 | Samantha Joan Coppola | Social Worker | 3220 Brook Rd Apt 203, Richmond, VA 23227-4850 | 2020-08-03 |
| 1053921395 | Rachelle Lee Butler | Social Worker | 2820 E Broad St Apt A, Richmond, VA 23223-7342 | 2020-08-02 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.