Individual provider Active NPI

Ashley J. Hennegin, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1144625609
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2005016500 Issued in MO
Practice address
3100 NE 83Rd St
Kansas City, MO 64119-4400
Phone
(816) 468-0400
NPI assigned
Oct 27, 2014
Last updated
Oct 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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 2005016500 MO Primary

Addresses

Primary practice location

3100 NE 83Rd St
Kansas City, MO 64119-4400

Mailing address

18107 Rollins Dr
Smithville, MO 64089-9082
Phone (816) 522-5165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20141125000325 MO Practitioner - Clinical Social Worker 3274855473 Reassigns benefits to 1 organization
Practice locations: Liberty, MO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Victory LN
Suite 205
Liberty, MO 64068-3804
Phone (816) 522-5165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2005016500MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Mental Health Services, Inc. CurrentSince Oct 27, 2014 Accepting new patients
Wubbenhorst & Wubbenhorst, Inc. Clinical Past Accepting new patients

Locations

3100 NE 83rd St
Ste 1001
Kansas City, MO 64119
Phone (816) 321-3230

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1144625609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18107 ROLLINS DR",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "640899082",
            "telephone_number": "816-522-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NE 83RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641194400",
            "telephone_number": "816-468-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNEGIN",
        "first_name": "ASHLEY",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2005016500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.