Michael Anton Terry, LCSW, LISW

Clinical Social Worker · Moline, IL

Individual Active NPI

NPI number 1891331872

Practice location

524 15TH St
Moline, IL 61265-2151
Phone
(309) 736-7170
Fax
(309) 736-7150

Open in Google Maps

NPI record

NPI
1891331872
Entity type
Individual (Type 1)
Enumeration date
November 25, 2019
Last updated
November 25, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149.011688 IL
Clinical Social Worker 1041C0700X 007851 IA

About Michael Terry

Michael Anton Terry, LCSW, LISW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 524 15TH St, Moline, IL 61265-2151. The NPI number 1891331872 was assigned on November 25, 2019 and the record was last updated on November 25, 2019.

Michael Terry lists 2 licenses in the registry: #149.011688 (IL) for Clinical Social Worker; #007851 (IA) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Anton Terry, LCSW, LISW?

The NPI number is 1891331872.

What is the phone number of Michael Terry?

The phone number listed for the practice location is (309) 736-7170.

Where is Michael Terry located?

524 15TH St, Moline, IL 61265-2151.

What is the taxonomy code for Michael Terry?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Clinical Social Worker providers in Moline

All Clinical Social Worker providers in Moline, IL →