Individual provider Active NPI

Emily Henard

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1093207359
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
126842 Issued in CA
Practice address
995 Gateway Center Way Ste 106
San Diego, CA 92102-4544
Phone
(619) 772-2579
NPI assigned
Jun 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X 126842 CA Primary

Addresses

Primary practice location

995 Gateway Center Way Ste 106
San Diego, CA 92102-4544

Mailing address

995 Gateway Center Way Ste 106
San Diego, CA 92102-4544
Phone (619) 772-2579

Other practice location 1

1255 Kendall Rd
San Luis Obispo, CA 93401-8750
Phone (805) 207-0443

Other practice location 2

3539 College Ave
San Diego, CA 92115-7032
Phone (619) 818-3788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
126842CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Union of Pan Asian Communities PastSince Mar 17, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1527897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1093207359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 GATEWAY CENTER WAY STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024544",
            "telephone_number": "619-772-2579",
            "fax_number": "619-717-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 GATEWAY CENTER WAY STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024544",
            "telephone_number": "619-772-2579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Kendall Rd",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934018750",
            "country_code": "US",
            "telephone_number": "805-207-0443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3539 College Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921157032",
            "country_code": "US",
            "telephone_number": "619-818-3788",
            "fax_number": "619-795-6906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENARD",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-02",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "126842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.