Active NPI
Stacy Ann Henley, LCSW
- Clinical Social Worker
- New Albany, IN
National Provider Identifier
1306063441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34005209A
- Practice address
- 2676 Charlestown Rd
Ste 9
New Albany, IN 47150-2574 - Phone
- (812) 948-8522
- Fax
- (812) 948-8613
- NPI assigned
- Apr 19, 2007
- 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 | 34005209A | IN | Primary |
Addresses
Primary practice location
2676 Charlestown Rd
Ste 9
New Albany, IN 47150-2574
Mailing address
605 Maylawn Ave
Louisville, KY 40217-1933
Phone (502) 596-1227
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34005209A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treat & Lindsey Counseling Associates in | Clinical | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- New Albany, IN
- NPI 1265597595
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306063441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 MAYLAWN AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171933",
"telephone_number": "502-596-1227",
"fax_number": "812-948-8522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2676 CHARLESTOWN RD",
"address_2": "STE 9",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471502574",
"telephone_number": "812-948-8522",
"fax_number": "812-948-8613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENLEY",
"first_name": "STACY",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34005209A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.