Tanya Marie Hennix
Individual provider Active NPI Social Worker · Minot, ND
NPI 1003430786 · NPPES record last updated May 29, 2020
Key facts
- NPI
- 1003430786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 1425 21St Ave NW Ste a
Minot, ND 58703-0817 - Phone
- (701) 850-9683
- Fax
- (701) 839-8990
- NPI assigned
- May 29, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
1425 21St Ave NW Ste a
Minot, ND 58703-0817
Mailing address
1425 21St Ave NW Ste a
Minot, ND 58703-0817
Phone (701) 850-9683
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.