Kayla Pennington Henke, LMSW, CASAC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

105868-1 Issued in NY

Practice address

22 Wells Farm Rd
Goshen, NY 10924-6773

Phone

(845) 342-2400

NPI assigned

Aug 21, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1073160313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WELLS FARM RD",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246773",
            "telephone_number": "845-728-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WELLS FARM RD",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246773",
            "telephone_number": "845-342-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Seward Ave",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109401903",
            "country_code": "US",
            "telephone_number": "845-341-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENKE",
        "first_name": "KAYLA",
        "middle_name": "PENNINGTON",
        "credential": "LMSW, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "105868-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthy Living, PC
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• Madline M Helms, COTA
• Shane Henderson, DPT
• Robert Charles Hendler, MD
• Patricia Hennessey, LCSW
• Kelly Lynn Hennessy
• Jeanne T Herbert, MS
• Olga Giselle Hernandez
• Allen Lee Hershman, PHD,PSYD

• Social Worker in Goshen, NY
• Providers in Goshen, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.