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Contact Information

TERRY J CHASE, LMSW,LMHC,LMHP
625 E 39TH ST
SOUTH SIOUX CITY, NE68776-3445
 Phone: 712-389-6412
 Fax: 402-494-2735
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Mental Health

101YM0800X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for TERRY J CHASE · (Female)

NPI Number 1588708226
Status Active
Credentials LMSW,LMHC,LMHP
Entity Individual
Enumeration date 02/16/2007
Last updated 09/15/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 001198
  • IA License # 03175
  • NE License # 1729
  • NE License # 3426
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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