Carolyn S. Henry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

128931-3501 Issued in UT

Practice address

388 West 100 North
Vernal, UT 84078-9802

Phone

(435) 781-8000

Fax

(435) 781-8001

NPI assigned

Oct 12, 2006

Last updated

Nov 3, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

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  • NPI 1255413118
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1194814475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 WEST 100 NORTH",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840789802",
            "telephone_number": "435-781-8000",
            "fax_number": "435-781-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 WEST 100 NORTH",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840789802",
            "telephone_number": "435-781-8000",
            "fax_number": "435-781-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "CAROLYN",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "128931-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orlando G Heaton, PT
• Heather Hellberg
• Alyssa Lauren Henderson
• Jenny Lynette Henderson, RD
• Chelsy L Henline, LMT, CSCS
• Christina Squire Higgins
• Jesse Paul Higgins
• High Desert Neurology of Utah, PC
• Jeri Hillegeist
• Jalysa Holmes, PTA

• Clinical Social Worker in Vernal, UT
• Providers in Vernal, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.