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MR. TERRY WAYNE FOUTS LSCSW NPI 1356434542


NPI Information

NPI: 1356434542
Provider Name: MR. TERRY WAYNE FOUTS, LSCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Organization: JAMESTOWN SKLALLAM TRIBE

PECOS Registration: Yes

Address:
721 STEDMAN ST
KETCHIKAN, AK
ZIP 99901
Phone: (907) 225-7825
Get Directions

MR. Terry Wayne Fouts, LSCSW is a clinical social worker in Ketchikan, AK with 31 years of experience. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MR. Terry Wayne Fouts, LSCSW NPI is 1356434542. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

721 STEDMAN ST
KETCHIKAN, AK
ZIP 99901-632
Phone: (907) 225-7825
Fax: (907) 225-1541

The NPI 1356434542 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 10/22/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial Worker1940KANSASNo
21041C0700XSocial WorkerClinical1147ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MH3260MEDICAIDALASKA
2201597OTHERKANSASGREAT WEST HEALTH PARTNER
3066882MEDICARE ID-TYPE UNSPECIFIEDKANSAS
4066882OTHERKANSASBLUE CROSS BLUE SHIELD
51597OTHERVIRGINIAVALUE OPTION INC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.