Mia Deann Henry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW7812 Issued in FL

Practice address

1061 Harmon Ave Ste. 1D03
Winn Army Community Hospital
Ft. Stewart, GA 31314-5674

Phone

(904) 435-5399

NPI assigned

Nov 4, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1356595326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE STE. 1D03",
            "address_2": "WINN ARMY COMMUNITY HOSPITAL",
            "city": "FT. STEWART",
            "state": "GA",
            "postal_code": "313145674",
            "telephone_number": "904-435-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE STE. 1D03",
            "address_2": "WINN ARMY COMMUNITY HOSPITAL",
            "city": "FT. STEWART",
            "state": "GA",
            "postal_code": "313145674",
            "telephone_number": "904-435-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MIA",
        "middle_name": "DEANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raykeidrik Henderson
• Leeann Michelle Hendrix, RN
• Cynthia D Henley, R.N.
• Patrick T Hennessey, MD
• Luke Kenton Henry, PA-C
• Shaina Henry, LCSW
• Tracy S Hepburn, CPHT
• Doris Annemarie Herbig, OTR/L
• Jose A Hernandez, M.D.
• Lauren Herzog

• Clinical Social Worker in Ft. Stewart, GA
• Providers in Ft. Stewart, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.