Joan Hennes
Individual provider Active NPI Clinical Social Worker · Exeter, CA
NPI 1457548273 · NPPES record last updated Sep 25, 2007
Key facts
- NPI
- 1457548273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 22788 (CA)
- Practice address
- 1014 San Juan Ave
Exeter, CA 93221-1312 - Phone
- (559) 592-7300
- Fax
- (559) 594-4631
- NPI assigned
- Sep 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22788 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 22788 | CA | Yes |
Addresses
Primary practice location
1014 San Juan Ave
Exeter, CA 93221-1312
Mailing address
1014 San Juan Ave
Exeter, CA 93221-1312
Phone (559) 592-7300
Other providers in Exeter, CA
- Pamela A Harder
- Christen Ashleigh Hastings
- Angelica Hawkes
- Glenna M Hawn
- Ronald Helman
- Erica Hernandez Saldana
- Anna Hernandez
- Leslee Heuer
- Robin H Heyde-McCoy
- Ann E. Hickey
All providers in Exeter, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.