Provider Demographics
NPI:1477193951
Name:TERNEUS, MARIA DRUSILLA (LCSW)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:DRUSILLA
Last Name:TERNEUS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:DRUSILLA
Other - Last Name:ATKINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:109 NW 133RD AVE
Mailing Address - Street 2:UNIT 101
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33325-7643
Mailing Address - Country:US
Mailing Address - Phone:305-742-3273
Mailing Address - Fax:
Practice Address - Street 1:14141 OAK RIDGE DRIVE
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33325
Practice Address - Country:US
Practice Address - Phone:954-890-1968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-13
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW205751041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical