Kylee M Henderson, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

7 Glassworks Rd
Greensboro, PA 15338-9507

Phone

(724) 943-3308

Fax

(724) 943-3310

NPI assigned

Mar 9, 2012

Last updated

Jun 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kylee M Deglau Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Care Inc.Group PAC ID 7911811583, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kylee.henderson.p12@direct.cornerstonecare.nextgenshare.com

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.

• Cornerstone Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Greensboro, PA
  • NPI 1376512582
  Medicare reassignment Care Compare group NPD
• Cornerstone Care Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, PA
  • NPI 1306474598
  NPD
• Cornerstone Care Inc.

  dba Cornerstone Care Community Health Center of Mount Morris-Medical

  • Federally Qualified Health Center (FQHC)
  • Mount Morris, PA
  • NPI 1194029819
  NPD
• Cornerstone Care, Inc.

  dba Cornerstone Care Behavioral Health Center of Waynesburg

  • Federally Qualified Health Center (FQHC)
  • Waynesburg, PA
  • NPI 1710147004

  Clinical

  NPD (past)

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1114292174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GLASSWORKS RD",
            "city": "GREENSBORO",
            "state": "PA",
            "postal_code": "153389507",
            "telephone_number": "724-943-3308",
            "fax_number": "724-943-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GLASSWORKS RD",
            "city": "GREENSBORO",
            "state": "PA",
            "postal_code": "153389507",
            "telephone_number": "724-943-3308",
            "fax_number": "724-943-3310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "793 Old Route 119 Hwy N",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157011372",
            "country_code": "US",
            "telephone_number": "724-465-5576",
            "fax_number": "724-465-6379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KYLEE",
        "middle_name": "M",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-09",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLEE",
            "last_name": "DEGLAU",
            "middle_name": "M",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vanessa Arlene Dixon
• Carrie Downey, LSW
• Nathan B Duer, MD
• Julie A Goist, DDS
• Greensboro & Monongahela TWP VFD
• James M Hepburn, PH.D.
• Jonathan Johnson, LCSW
• Allison Rachelle Kovach
• Eileen Lapkowicz, D.H.
• Nicole Ann Leeper

• Clinical Social Worker in Greensboro, PA
• Providers in Greensboro, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.

Verify at the official NPI Registry.