Individual provider Active NPI

Mary Frances Henslee, LCSW

  • Clinical Social Worker
  • Wytheville, VA
National Provider Identifier
1265513014
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005070 Issued in VA
Practice address
177 Tazewell St
Wytheville, VA 24382-2347
Phone
(276) 228-8300
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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 0904005070 VA Primary

Addresses

Primary practice location

177 Tazewell St
Wytheville, VA 24382-2347

Mailing address

315 Spring Meadow Dr
Wytheville, VA 24382-2550
Phone (276) 228-8969

Other identifiers 3

IdentifierTypeStateIssuer
7471563OtherVAAETNA
589394000OtherVAMAGELLAN
102148OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100224000996 VA Practitioner - Clinical Social Worker 1951445253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Virginia Commonwealth University, School of Medicine, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

390 W Spring St
Wytheville, VA 24382-2540
Phone (276) 228-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Alternatives, LLC Clinical CurrentSince Jan 6, 2010 Accepting new patients

Locations

177 Tazewell St
Wytheville, VA 24382
Phone (276) 228-8300

390 W Spring St
Wytheville, VA 24382
Phone (276) 228-8300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1265513014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 SPRING MEADOW DR",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822550",
            "telephone_number": "276-228-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 TAZEWELL ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822347",
            "telephone_number": "276-228-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEE",
        "first_name": "MARY",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7471563",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "589394000",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "102148",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wytheville, VA

Sources for this page

Verify at the official NPI Registry.