MEDICARE: MR. TERRY LANE GATEWOOD L.C.S.W

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	29305	CA

General Provider Information

NPI Number	:	1437553344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TERRY LANE GATEWOOD L.C.S.W

Provider Business Mailing Address
First Line	:	2962 SEARCHLIGHT LN
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92264-6827
Country	:	US
Telephone Number	:	323-217-8600
Fax Number	:	760-406-4045

Provider Business Practice Location Address
First Line	:	2962 SEARCHLIGHT LN
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92264-6827
Country	:	US
Telephone Number	:	323-217-8600
Fax Number	:	760-406-4045

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2014
Last Update Date	:	10/21/2014

Similar Medicare Providers

1588959423 — MRS. JUDY ANN SMITH
Practice Location Address:

133 HILTON AVE NW
PALM BAY, FL
32907-6827

Practice Phone: 321-914-3629
Practice Fax:

1912876475 — PREM PATEL
Practice Location Address:

6827 DATE PALM DR
KATY, TX
77493-5660

Practice Phone: 346-347-0000
Practice Fax:

1467159111 — MR. JEFFREY PHAM PMHNP
Practice Location Address:

1775 E PALM CANYON DR
PALM SPRINGS, CA
92264-1613

Practice Phone: 760-627-9177
Practice Fax:

1821261041 — WALGREEN CO
Practice Location Address:

2465 E PALM CANYON DR BLDG 14
PALM SPRINGS, CA
92264-7010

Practice Phone: 760-322-9351
Practice Fax: 760-327-6504

1316834724 — MINDSPIRE MENTAL HEALTH & WELLNESS NURSING CORPORATION
Practice Location Address:

1775 E PALM CANYON DRIVE , 110-5020
PALM SPRINGS, CA
92264-1613

Practice Phone: 424-888-0608
Practice Fax:

1295734713 — ENSIGN PALM I LLC
Practice Location Address:

2990 E RAMON RD
PALM SPRINGS, CA
92264-7931

Practice Phone: 760-323-2638
Practice Fax: 760-323-1723

Directions to “ MR. TERRY LANE GATEWOOD L.C.S.W” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.