Terry R Eads, LCSW is a 
Social Worker - Clinical based in Gosport, Indiana. Terry R Eads is licensed to practice in Indiana (license number 34005321A) and her current practice location is 
1351 W Burma Rd, Gosport, Gosport, Indiana. She can be reached at her office (for appointments etc.) via phone at 
(812) 876-5852.
NPI number for Terry R Eads is 1447422191 and her current mailing address is 1351 W Burma Rd, Gosport, Gosport, Indiana. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447422191.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Terry R Eads | 
|---|
| Gender | Female | 
|---|
| Speciality | Social Worker - Clinical | 
|---|
| Location | 1351 W Burma Rd, Gosport, Indiana | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1447422191
- Provider Enumeration Date: 04/01/2008
- Last Update Date: 04/01/2008
 
		 
		 
Medical Identifiers
		Medical identifiers for Terry R Eads such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1447422191 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 1041C0700X | Social Worker - Clinical | 34005321A (Indiana) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Terry R Eads is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Terry R Eads, LCSW 1351 W Burma Rd, Gosport,
 Gosport, IN 47433-9573
 Ph: (812) 876-5852
 | Terry R Eads, LCSW 1351 W Burma Rd, Gosport,
 Gosport, IN 47433-9573
 Ph: (812) 876-5852
 | 
		
		 
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