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

MS. Mary Ilene Terra, LCSW

Individual provider Clinical Social Worker · NPI 1962579524

MS. Mary Ilene Terra, LCSW is a Clinical Social Worker in San Jose, California. Qualified in 2001, 25 years ago. Practices with Momentum for Health, a 40-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2006
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

2001 The Alameda
San Jose, CA 95126-1136
Phone: (408) 261-7777
Fax: (408) 248-6520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 15092 (CA)

Record details

NPI number1962579524
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Momentum For Health — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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