Active NPI
Ronnie S Henson, LISW
- Clinical Social Worker
- Marion, OH
National Provider Identifier
1417925819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I9611
- Practice address
- 1000 McKinley Park Dr
Marion, OH 43302-6399 - Phone
- (740) 383-7840
- Fax
- (740) 383-7816
- NPI assigned
- Mar 10, 2006
- 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 | I9611 | OH | Primary |
Addresses
Primary practice location
1000 McKinley Park Dr
Marion, OH 43302-6399
Mailing address
1000 McKinley Park Dr
Marion, OH 43302-6399
Phone (740) 383-7840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000252405 | Other | OH | ANTHEM BC/BS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I9611 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417925819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MCKINLEY PARK DR",
"city": "MARION",
"state": "OH",
"postal_code": "433026399",
"telephone_number": "740-383-7840",
"fax_number": "740-383-7816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MCKINLEY PARK DR",
"city": "MARION",
"state": "OH",
"postal_code": "433026399",
"telephone_number": "740-383-7840",
"fax_number": "740-383-7816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSON",
"first_name": "RONNIE",
"middle_name": "S",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I9611",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "0000000252405",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marion, OH
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.