Active NPI
Stephanie A Henriques, LMSW
- Social Worker
- Bay Shore, NY
National Provider Identifier
1316285547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 087742-1
- Practice address
- 250 W Main St
Bay Shore, NY 11706-8337 - Phone
- (631) 666-1951
- Fax
- (631) 666-5067
- NPI assigned
- Jan 23, 2013
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 087742-1 | NY | Primary |
Addresses
Primary practice location
250 W Main St
Bay Shore, NY 11706-8337
Mailing address
34 Fire Road Dr
Bay Shore, NY 11706-3947
Phone (631) 666-1951
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 |
|---|---|---|---|
| 087742-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butterfly LCSW PC | Social Worker | Past | Accepting new patients |
| Butterfly Clinical Inc. | Social Worker | Past | Accepting new patients |
| Butterfly Clinical | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Bayshore, NY
- NPI 1932265683
-
- Clinical Social Worker
- Bay Shore, NY
- NPI 1184858441
-
- Clinical Social Worker
- Bay Shore, NY
- NPI 1023349297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358899200000",
"number": "1316285547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 FIRE ROAD DR",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117063947",
"telephone_number": "631-666-1951",
"fax_number": "631-666-5067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W MAIN ST",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068337",
"telephone_number": "631-666-1951",
"fax_number": "631-666-5067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRIQUES",
"first_name": "STEPHANIE",
"middle_name": "A",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-23",
"last_updated": "2013-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "087742-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay Shore, NY
- Karen Marie Heller, RN
- Jasmine Sandra Helvetius-Philippe
- Hematology-Oncology Associates of Western Suffolk PC
- Hematology-Oncology Associates of Western Suffolk PC
- Tracey Henning
- Lauren Ann Henry, NURSE PRACTITIONER
- Haengyeol Heo
- Jacqueline Hermida, LMHC
- Ana Hernandez Martinez
- Hernandez Podiatry P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.