MEDICARE: DEENA A TERRELL LCSW

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	171M00000X	Case Manager/Care Coordinator	0904009847	VA
2	171000000X	Military Health Care Provider	0904009847	VA
3	1041C0700X	Clinical Social Worker	44SC05933600	NJ
4	171000000X	Military Health Care Provider	44SC05933600	NJ
5	101YM0800X	Mental Health Counselor	0904009847	VA
6	251B00000X	Case Management Agency	44SC05933600	NJ
7	222Q00000X	Developmental Therapist	44SC05933600	NJ
8	171M00000X	Case Manager/Care Coordinator	44SC05933600	NJ
9	1041C0700X	Clinical Social Worker	129911	CA
10	251B00000X	Case Management Agency	0904009847	VA
11	101YM0800X	Mental Health Counselor	44SC05933600	NJ
12	101YA0400X	Addiction (Substance Use Disorder) Counselor	0904009847	VA
13	1041C0700X	Clinical Social Worker	0904009847	VA
14	222Q00000X	Developmental Therapist	0904009847	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	44SC05933600	OTHER	NJ	NEW JERSEY STATE BOARD OF SOCIAL WORK EXAMINERS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	0904009847	OTHER	VA	VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669818811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEENA A TERRELL LCSW

Provider Business Mailing Address
First Line	:	11357 NUCKOLS RD # 1101
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-5504
Country	:	US
Telephone Number	:	845-200-6685
Fax Number	:	888-348-3804

Provider Business Practice Location Address
First Line	:	11357 NUCKOLS RD # 1101
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-5504
Country	:	US
Telephone Number	:	804-918-5572
Fax Number	:	888-348-3804

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

Provider Enumeration Date	:	05/15/2013
Last Update Date	:	06/09/2026

Similar Medicare Providers

1598737389 — DR. AMISH B SHAH MD
Practice Location Address:

11357 NUCKOLS RD # 1149
GLEN ALLEN, VA
23059-5504

Practice Phone: 256-698-0521
Practice Fax:

1194735506 — DR. KENNETH ROBERT EPPERSON O.D.
Practice Location Address:

11369 NUCKOLS RD
GLEN ALLEN, VA
23059-5504

Practice Phone: 804-864-2020
Practice Fax: 804-377-8803

1164433892 — NICOLE ANN MARSHALL O.D.
Practice Location Address:

11369 NUCKOLS RD
GLEN ALLEN, VA
23059-5504

Practice Phone: 804-864-2020
Practice Fax: 804-377-8803

1306057021 — EPPERSON EYE,P.C.
Practice Location Address:

11369 NUCKOLS RD
GLEN ALLEN, VA
23059-5504

Practice Phone: 804-864-2020
Practice Fax: 804-377-8803

1275954588 — DR. CHRISTOPHER NEWELL MD
Practice Location Address:

11357 NUCKOLS RD , # 163
GLEN ALLEN, VA
23059-5504

Practice Phone: 804-833-8795
Practice Fax: 703-802-4730

1619360757 — DEBORAH CRUTCHFIELD NP
Practice Location Address:

11357 NUCKOLS RD # 2091
GLEN ALLEN, VA
23059-5504

Practice Phone: 804-965-4327
Practice Fax: 804-729-5887

Directions to “ DEENA A TERRELL LCSW” 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.