TERRI EIDEM (NPI# 1295208957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295208957 |
| Entity Type | Individual |
| Full Name | TERRI EIDEM |
| Credential | LCSW |
| Practice Address |
2020 Fm 967 Buda TX 78610-2877 |
| Mailing Address |
124 River Lakes Ln Martindale TX 78655-3907 |
| Practice Telephone | 5125238777 |
| Enumeration Date | 2019-01-05 |
| Last Update Date | 2019-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
60346 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS STATE BOARD OF SOCIAL WORK EXAMINERS | 60346 | 01 |
| TX | STATE OF TEXAS DRIVER LICENSE | 24339407 | 01 |
| Street Address |
2020 FM 967 |
| City | BUDA |
| State | TX |
| Zip Code | 78610-2877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447662499 | Lisa Stanhope | Counselor | 2020 Fm 967, Buda, TX 78610 | 2014-05-27 |
| 1649871666 | Rebecca Mixx | Counselor | 2020 Fm 967, Buda, TX 78610-2877 | 2020-11-05 |
| 1194357640 | Lisa Osborn | Social Worker | 2020 Fm 967, Buda, TX 78610-2877 | 2020-02-12 |
| 1730723230 | Nancy R Divis Lcsw-s Pllc | Social Worker | 2020 Fm 967, Buda, TX 78610-2877 | 2019-10-29 |
| 1467096834 | Curae Counseling & Consulting, Pllc | Counselor | 2020 Fm 967, Buda, TX 78610-2877 | 2019-10-29 |
| 1528525037 | Terri Eidem Counseling LLC | Social Worker | 2020 Fm 967, Buda, TX 78610-2877 | 2019-02-21 |
| 1700396447 | Jordan Zumdick | Counselor | 2020 Fm 967, Buda, TX 78610-2877 | 2017-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633849 | Phillip Jones | Specialist/Technologist | 4260 Rr 967, Buda, TX 78610 | 2020-06-09 |
| 1992367460 | Budaful Eyes Pllc | Optometrist | 15550 S Ih 35 Frontage Rd, 107, Buda, TX 78610 | 2019-07-03 |
| 1831667120 | Suzette Molina | Counselor | 112 Cimarron Park Loop Ste B, Buda, TX 78610 | 2018-11-05 |
| 1497271225 | Kaylynn Schrandt | Social Worker | 251 Middle Creek Drive, Buda, TX 78610 | 2017-08-14 |
| 1518487172 | Megan Miller | Nurse Practitioner | 589 N Fm 1626 Ste 305, Buda, TX 78610 | 2017-06-26 |
| 1548630205 | Michelle Brighton Deleon | Nurse Practitioner | 1567 Main Street #100, Buda, TX 78610 | 2015-10-06 |
| 1851797963 | Sonia Mendez | Physical Therapy Assistant | 401 Pinafore St, Buda, TX 78610 | 2014-11-17 |
| 1043552029 | Alexandra Barton Otto | Dentist | 1245 Main Street, Bldg B-2, Suite 300, Buda, TX 78610 | 2013-03-18 |
| 1922387190 | Phyllis J Wolf | Counselor | 383 Cullen Blvd, Buda, TX 78610 | 2011-08-05 |
| 1851611164 | Venessa Pena-robichaux | Dermatology | 211b N Fm 1626, Suite 1a, Buda, TX 78610 | 2010-06-09 |
| Find all providers in zip 78610 | ||||
| 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 |
|---|---|---|---|---|
| 1386137438 | Stephanie Grizzle | Social Worker | 576 Vista Gardens Dr, Buda, TX 78610-3678 | 2018-06-13 |
| 1497271225 | Kaylynn Schrandt | Social Worker | 251 Middle Creek Drive, Buda, TX 78610 | 2017-08-14 |
| 1306121496 | Karen Campbell | Social Worker | 309 Casa Loma St, Buda, TX 78610-9774 | 2011-10-20 |
| 1770880783 | Judith Burns | Social Worker | 12708 Turkey Cv, Buda, TX 78610-2513 | 2011-02-28 |
| 1194357640 | Lisa Osborn | Social Worker | 2020 Fm 967, Buda, TX 78610-2877 | 2020-02-12 |
| 1730723230 | Nancy R Divis Lcsw-s Pllc | Social Worker | 2020 Fm 967, Buda, TX 78610-2877 | 2019-10-29 |
| 1528525037 | Terri Eidem Counseling LLC | Social Worker | 2020 Fm 967, Buda, TX 78610-2877 | 2019-02-21 |
| 1942764519 | Catherina Conte | Social Worker | 13207 Wright Rd, Buda, TX 78610-5000 | 2019-01-28 |
| 1033204573 | Rebecca Gene Olsen Cook | Social Worker | 1760 Fm 967, Ste C, Buda, TX 78610-3047 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750189 | Nikkie Alan Rice | Social Worker | 6034 Laguna Vista Dr, El Paso, TX 79932-4109 | 2020-11-07 |
| 1194326926 | Janai June Bryan | Social Worker | 2312 Western Trails Blvd Ste B204, Austin, TX 78745-1677 | 2020-11-06 |
| 1942801337 | Dynamik Transformations, LLC | Social Worker | 3522 Duncaster Dr, Missouri City, TX 77459 | 2020-11-03 |
| 1700487071 | Amanda Paige Kendig | Social Worker | 5000 Riverside Dr Bldg 6, Ste 100e, Irving, TX 75039-4316 | 2020-11-03 |
| 1639779333 | Caitlyn Ussery | Social Worker | 5806 Terra Dr, Arlington, TX 76017-4216 | 2020-10-30 |
| 1528668324 | Paragon Counseling and Consulting | Social Worker | 2919 Driftwood Bend Dr, Fresno, TX 77545-6113 | 2020-10-30 |
| 1336749654 | Rachael E Swearingin | Social Worker | 108 Meadowbend Dr, Cedar Hill, TX 75104-3278 | 2020-10-27 |
| 1336749563 | Kelly Jo Rolland | Social Worker | 2904 4th St Ste 102, Longview, TX 75605-5124 | 2020-10-27 |
| 1083214415 | Barbara Jefferson | Social Worker | 1110 Brown Dr, Pflugerville, TX 78660-4908 | 2020-10-26 |
| 1285234716 | Leah Mcnulty | Social Worker | 13722 Office Park Dr Ste B, Houston, TX 77070-2891 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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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.