Sophia L Henry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003618 Issued in GA

Practice address

60 11TH St NE
Atlanta, GA 30309-3970

Phone

(404) 892-0998

NPI assigned

Sep 2, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Georgia Rehabilitation Outreach

  • Clinical Social Worker
  • East Point, GA
  • NPI 1699868117
  NPD (past)
• Preventive Measures of Ga

  • Community/Behavioral Health Agency
  • Conyers, GA
  • NPI 1821453010
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197158400000",
    "number": "1023110806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 NEW ST",
            "address_2": "SUITE G4",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304132",
            "telephone_number": "404-925-2957",
            "fax_number": "770-882-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 11TH ST NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093970",
            "telephone_number": "404-892-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "SOPHIA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lisa Henry, PH. D., LCSW
• Rhonesia Henry
• Shadeen Rachel Henry
• Sheridan Sims Henry, CNP
• Sommer T Henry, LPC
• Soummala Henry
• Tracey Lynn Henry
• Gary Mayes Henschen, MD
• Grace Hensel
• Matthew Hensley

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.