Active NPI
Katherine Henkel, LMSW
- Social Worker
- Cabot, AR
National Provider Identifier
1093280067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8953-M
- Practice address
- 203B Westport Dr
Cabot, AR 72023-3657 - Phone
- (501) 843-9233
- Fax
- (501) 843-9656
- NPI assigned
- Oct 5, 2018
- Last updated
- Oct 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8953-M | AR | Primary |
Addresses
Primary practice location
203B Westport Dr
Cabot, AR 72023-3657
Mailing address
203B Westport Dr
Cabot, AR 72023-3657
Phone (501) 843-9233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
855 S German LN
Suite 1
Conway, AR 72034-6479
Phone (501) 358-6606
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8953-M | AR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Counseling & Psychological Services, PLLC | Current | Accepting new patients |
Locations
855 S German Ln
Ste 1
Conway, AR 72034
Phone (501) 358-6606
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Conway, AR
- NPI 1528454139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538697600000",
"number": "1093280067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203B WESTPORT DR",
"city": "CABOT",
"state": "AR",
"postal_code": "720233657",
"telephone_number": "501-843-9233",
"fax_number": "501-843-9656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203B WESTPORT DR",
"city": "CABOT",
"state": "AR",
"postal_code": "720233657",
"telephone_number": "501-843-9233",
"fax_number": "501-843-9656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENKEL",
"first_name": "KATHERINE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-05",
"last_updated": "2018-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "8953-M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cabot, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.