Mrs Katie Terry, LCSW in Kennesaw, GA - Medicare Clinical Social Worker Provider

Mrs Katie Terry, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Kennesaw, Georgia. She graduated from healthcare school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sondermind Provider Network Llc, Sondermind Provider Network Llc and her current practice location is 1802 Brackendale Rd Nw, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 304-8788.

Mrs Katie Terry is licensed to practice in Georgia (license number CSW007418) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1144806746.

Contact Information

	Mrs Katie Terry, LCSW
	1802 Brackendale Rd Nw, Kennesaw, GA 30152-7746
	(678) 304-8788
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Katie Terry
Gender	Female
Speciality	Clinical Social Worker
Experience	11 Years
Location	1802 Brackendale Rd Nw, Kennesaw, Georgia
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Katie Terry graduated from medical school in 2015

NPI Data:

NPI Number: 1144806746
Provider Enumeration Date: 03/23/2021
Last Update Date: 06/30/2026

Medicare PECOS Information:

PECOS PAC ID: 5193194298
Enrollment ID: I20221213000394

Medical Identifiers

Medical identifiers for Mrs Katie Terry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144806746	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	CSW007418 (Georgia)	Primary
1041C0700X	Social Worker - Clinical	CSW007418 (Georgia)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Katie Terry allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829

Entity Name	Mindful Health Solutions Ga Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982354395 PECOS PAC ID: 0547642803 Enrollment ID: O20220802004092

Entity Name	Activating Harmony, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588473805 PECOS PAC ID: 0749718344 Enrollment ID: O20250109003968

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. Mrs Katie Terry is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Katie Terry, LCSW 711 Pear Grove Pl, Marietta, GA 30066-5826 Ph: (678) 304-8788	Mrs Katie Terry, LCSW 1802 Brackendale Rd Nw, Kennesaw, GA 30152-7746 Ph: (678) 304-8788

Reviews and Comments

Counselor in Kennesaw, GA

Mr. Christopher M Hall, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2332 Holden Way Nw, Kennesaw, GA 30144 Phone: 347-481-9074
Ashley Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1690 Stone Village Ln Nw Ste 622, Kennesaw, GA 30152 Phone: 678-740-3578
Theresa Cher Randall, APC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3745 Cherokee St Nw Ste 101, Kennesaw, GA 30144 Phone: 678-927-6471
Camille Marie Roty, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1275 Shiloh Rd Nw Ste 2160, Kennesaw, GA 30144 Phone: 404-530-9564 Fax: 678-341-0021
Kristi Thomas Howard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2602 Summers St, Unit 200, Kennesaw, GA 30144 Phone: 770-883-2052
Ebony Stinson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3869 Butterfield Dr Nw, Kennesaw, GA 30152 Phone: 505-615-8725
Kimberly Marie Seheult, M ED, MHP, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2055 Barrett Lakes Blvd, Apt 1402, Kennesaw, GA 30144 Phone: 404-693-1559 Fax: 404-745-0271

Mrs Katie Terry, LCSW - Medicare Counselor in Kennesaw, GA