Marla Ilene Davis Henry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.007033 Issued in IL

Practice address

647 Wicklow Rd
Deerfield, IL 60015-4522

Phone

(847) 471-3273

Fax

(847) 948-8742

NPI assigned

Aug 31, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marla Ilene Davishoff Former name

Medicare fee-for-service enrollment

Enrolled in IL

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Marla Davis Henry LCSW

  • Clinical Social Worker
  • Deerfield, IL
  • NPI 1104288380
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1447627088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 WICKLOW RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "60015",
            "telephone_number": "847-471-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 WICKLOW RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154522",
            "telephone_number": "847-471-3273",
            "fax_number": "847-948-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS HENRY",
        "first_name": "MARLA",
        "middle_name": "ILENE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.007033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLA",
            "last_name": "DAVISHOFF",
            "middle_name": "ILENE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zaina Dar
• Patricia Daugherty, PHARMD
• Ashish Dave
• Lisa Davidoff, M.D.
• Sylvia Davidson, PSY.D.
• Davken Associates, P.C.
• Megan And Dawidiak Marsden
• Kellen Day, PHARMD, MBA
• Daylily Counseling PLLC
• Kelly Decanio

• Clinical Social Worker in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.