Active NPI
Frederick E Henry, MSW
- Clinical Social Worker
- Harrisburg, PA
National Provider Identifier
1093713653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW014226
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001528925 | Medicaid | PA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CW014226 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upward Bound Psychiatry & Psychotherapy Services Inc | Past | Accepting new patients | |
| Pennsylvania Counseling Services Inc. | Past | 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.
-
- Counselor
- Lebanon, PA
- NPI 1669474979
-
- Child & Adolescent Psychiatry Physician
- Harrisburg, PA
- NPI 1053372417
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.