Shea Cecil Henly, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC200001380 Issued in DC

Practice address

2155 Champlain St NW
Washington, DC 20009-2795

Phone

(202) 540-9857

Fax

(202) 232-8494

NPI assigned

Apr 30, 2021

Last updated

Oct 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community of Hope, IncGroup PAC ID 5092612762, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Community of Hope, Inc.

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
  • NPI 1649601154

  Clinical

  Medicare reassignment Care Compare group NPD
• Community of Hope Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1730681420
  NPD
• Community of Hope Inc.

  dba Community of Hope Pharmacy

  • Community/Retail Pharmacy
  • Washington, DC
  • NPI 1801548805
  NPD

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1295318079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 CHAMPLAIN ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092795",
            "telephone_number": "202-540-9857",
            "fax_number": "202-232-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 CHAMPLAIN ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092795",
            "telephone_number": "202-540-9857",
            "fax_number": "202-232-8494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Court St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021082601",
            "country_code": "US",
            "telephone_number": "617-371-1742",
            "fax_number": "617-371-1756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENLY",
        "first_name": "SHEA",
        "middle_name": "CECIL",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "224512",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200001380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Christopher Henley
• Ashley Henley
• Erin Henley, LCSW-C, LICSW
• Marlene Henley, CPNP
• Nancie Elizabeth Henley, LICSW
• Curtis Mitchell Henn, MD
• Sarah Luise Henn, M.D.,MPH
• Christopher Hennelly
• Monica Mittal Hennessey, M.D.
• Cody Hennig

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.

Verify at the official NPI Registry.