Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Tybreisha Keianna Terry, LCSWA

Individual provider Clinical Social Worker · NPI 1962980904

MS. Tybreisha Keianna Terry, LCSWA is a Clinical Social Worker in Durham, North Carolina. Qualified in 2018, 8 years ago. Practices with Mindpath Care Centers North Carolina PLLC, a 115-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2018
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Practice location Address checks out

4220 Apex Hwy Ste 1200
Durham, NC 27713-2226
Phone: (855) 501-1004
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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 C014031 (NC)

Record details

NPI number1962980904
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA
Sole proprietorNo
NPI enumeratedAugust 1, 2018
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mindpath Care Centers North Carolina Pllc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Durham