Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Terry Lynn Shirley, LCSW

Individual provider Clinical Social Worker · NPI 1407148364

Mr. Terry Lynn Shirley, LCSW is a Clinical Social Worker in Cape Girardeau, Missouri. Qualified in 2010, 16 years ago. Practices with Ausable Valley Community Mental Health Services Board, a 17-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Missouri.

Years since qualifying
16
Licensed in
MI, MO
In the registry since
2011
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1112 Linden St
Cape Girardeau, MO 63703-7707
Phone: (573) 334-5513
Fax: (573) 334-0312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 511 Griffin Rd, West Branch, MI 48661-9251 — (989) 362-8636

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2013033736 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801115644 (MI)

Record details

NPI number1407148364
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 11, 2011
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Ausable Valley Community Mental Health Services Board — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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