Active NPI
Heather B Henry, LICSW
- Clinical Social Worker
- Fort Payne, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4902C
- Practice address
- 1951 Gault Ave N
Fort Payne, AL 35967-3417 - Phone
- (256) 273-6800
- NPI assigned
- Nov 9, 2021
- Sex
- Female
- 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 | 4902C | AL | Primary |
Addresses
Primary practice location
1951 Gault Ave N
Fort Payne, AL 35967-3417
Mailing address
1951 Gault Ave N
Fort Payne, AL 35967-3417
Phone (256) 273-6800
Other practice location 1
772 McCurdy Ave S
Rainsville, AL 35986-5211
Phone (256) 638-3776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4902C | Other | AL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1951 Gault Ave N
Fort Payne, AL 35967-3417
Phone (256) 273-6800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Right, LLC | Clinical | Current | Accepting new patients |
| Dove Renew | Current | Accepting new patients |
Locations
1951 Gault Ave N
Fort Payne, AL 35967
Phone (256) 273-6800
1949 Gault Ave N
Ste 104
Fort Payne, AL 35967
Phone (256) 330-7008
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.
-
- Clinical Social Worker
- Fort Payne, AL
- NPI 1518685767
-
- Mental Health Counselor
- Rainsville, AL
- NPI 1982280269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1225794803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 GAULT AVE N",
"city": "FORT PAYNE",
"state": "AL",
"postal_code": "359673417",
"telephone_number": "256-273-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 GAULT AVE N",
"city": "FORT PAYNE",
"state": "AL",
"postal_code": "359673417",
"telephone_number": "256-273-6800"
}
],
"practiceLocations": [
{
"address_1": "772 McCurdy Ave S",
"address_purpose": "LOCATION",
"city": "Rainsville",
"state": "AL",
"postal_code": "359865211",
"country_code": "US",
"telephone_number": "256-638-3776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENRY",
"first_name": "HEATHER",
"middle_name": "B",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-09",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "4902C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4902C",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Payne, AL
- Andrew Marshall Hatch Jr., PT
- Jamie Hatch, OTR
- HC Healthcare, LLC
- Heartland Cardiology LLC
- Paula Henderson, FNP
- Andrew Hester
- HH Health System - Dekalb RHC, LLC (DeKalb Clinic)
- HH Health System - Dekalb, LLC (DeKalb Regional Medical Center)
- HH Health System - Dekalb, LLC (DeKalb Regional Medical Center)
- HH Health System - Dekalb, LLC (DeKalb Regional Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.