Theresa M Hennessey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

28310 Roadside Dr Ste 202a
Agoura Hills, CA 91301-4958

Phone

(818) 584-2494

NPI assigned

Nov 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1573257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1023653409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 HIGH PEAK PL",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28310 ROADSIDE DR STE 202A",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014958",
            "telephone_number": "818-584-2494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 E Avenue S",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935524480",
            "country_code": "US",
            "telephone_number": "323-574-7081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNESSEY",
        "first_name": "THERESA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-09",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Www.kp.org",
            "affiliation": "N",
            "address_1": "4502 E Avenue S",
            "city": "Palmdale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935524480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Marie Harris
• Chantal Hart
• Karin Salisbury Hart, PSYD
• Fedra Hassanpour, LMFT
• Healing Halo Hospice and Palliative Care, Inc.
• William Gabriel Hepner
• Miguel Alejandro Hernandez Avalos, DDS
• Rozita Herschenfeld, PHARM.D.
• Mark Hestrin, M.D.
• Mina Heydari, PMHNP-BC

• Clinical Social Worker in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.