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

Individual provider Clinical Social Worker · NPI 1508574591

Terri Thao Le Shimizu is a Clinical Social Worker in Philadelphia, Pennsylvania. Qualified in 2015, 11 years ago. Licensed in Pennsylvania.

Years since qualifying
11
Licensed in
PA
In the registry since
2022
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Practice location Address checks out

3900 Woodland Ave
Philadelphia, PA 19104-4551
Phone: (215) 983-2206
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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 CW020084 (PA)

Record details

NPI number1508574591
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 9, 2022
Last updated in NPPESNovember 9, 2022
Certification dateNovember 9, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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