Individual provider Active NPI

Frederick E Henry, MSW

  • Clinical Social Worker
  • Harrisburg, PA
National Provider Identifier
1093713653
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014226 Issued in PA
Practice address
4800 Linglestown Rd
Suite 303
Harrisburg, PA 17112-9183
Phone
(717) 545-1427
Fax
(717) 545-1428
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW014226 PA Primary

Addresses

Primary practice location

4800 Linglestown Rd
Suite 303
Harrisburg, PA 17112-9183

Mailing address

4800 Linglestown Rd
Suite 303
Harrisburg, PA 17112-9183
Phone (717) 545-1427

Other identifiers 1

IdentifierTypeStateIssuer
001528925MedicaidPA

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
CW014226PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Upward Bound Psychiatry & Psychotherapy Services Inc Past Accepting new patients
Pennsylvania Counseling Services Inc. PastSince Jun 14, 2007 Accepting new patients

Organizations & group practices 2

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1093713653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 LINGLESTOWN RD",
            "address_2": "SUITE 303",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171129183",
            "telephone_number": "717-545-1427",
            "fax_number": "717-545-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 LINGLESTOWN RD",
            "address_2": "SUITE 303",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171129183",
            "telephone_number": "717-545-1427",
            "fax_number": "717-545-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "FREDERICK",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001528925",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.