Individual provider Active NPI

Lindsay Erin Henry

  • Clinical Social Worker
  • Roseville, CA
National Provider Identifier
1215089719
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 23693 Issued in CA
Practice address
300 Harding Blvd
Roseville, Ca 95678
Roseville, CA 95678-2470
Phone
(916) 740-0410
Fax
(916) 609-5100
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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 LCS 23693 CA Primary

Addresses

Primary practice location

300 Harding Blvd
Roseville, Ca 95678
Roseville, CA 95678-2470

Mailing address

300 Harding Ave
Roseville, Ca 95678
Sacramento, CA 95833-2560
Phone (916) 740-0410

Other names 1

  • Mrs. Lindsay Erin Henry Other name

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
LCS 23693CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1215089719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HARDING AVE",
            "address_2": "ROSEVILLE, CA 95678",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958332560",
            "telephone_number": "916-740-0410",
            "fax_number": "916-609-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HARDING BLVD",
            "address_2": "ROSEVILLE, CA 95678",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782470",
            "telephone_number": "916-740-0410",
            "fax_number": "916-609-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "LINDSAY",
        "middle_name": "ERIN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 23693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "HENRY",
            "middle_name": "ERIN",
            "prefix": "MRS.",
            "credential": "L.C.S.W.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.