National Provider Identifier
Elizabeth Katherine Terry, LCSW
Elizabeth Katherine Terry, LCSW is listed in the NPPES registry with a primary specialty of Social Worker in Ithaca, NY and a listed phone number of (630) 824-8359.
Profile Overview
- NPI
- 1619532595
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- May 06, 2019
- Last Updated
- July 01, 2024
Practice Location
- 409 Taughannock Blvd
- Ithaca, NY 14850-3232
Phone: (630) 824-8359
Mailing Address
- PO Box 140
- Dryden, NY 13053-0140
Specialties
- Social Worker (104100000X)
- Social Worker (104100000X)
Full Record
- NPI
- 1619532595
- Entity Type
- Individual
- Last Name
- Terry
- First Name
- Elizabeth
- Middle Name
- Katherine
- Name Prefix
- Mrs.
- Credential
- LCSW
- Mailing Street Address
- PO Box 140
- Mailing City
- Dryden
- Mailing State
- NY
- Mailing ZIP Code
- 13053-0140
- Mailing Country
- US
- Mailing Phone
- (630) 824-8359
- Practice Street Address
- 409 Taughannock Blvd
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3232
- Practice Country
- US
- Practice Phone
- (630) 824-8359
- Enumeration Date
- May 06, 2019
- Last Updated
- July 01, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 01, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X), Social Worker (104100000X)