Healthcare Provider Details

I. General information

NPI: 1730639071
Provider Name (Legal Business Name): TERRI MCCALL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2016
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 N ORANGE GROVE BLVD
PASADENA CA
91103-3333
US

IV. Provider business mailing address

855 N ORANGE GROVE BLVD
PASADENA CA
91103-3333
US

V. Phone/Fax

Practice location:
  • Phone: 626-796-3453
  • Fax:
Mailing address:
  • Phone: 626-796-3453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number137126
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: