Individual provider Active NPI

Henriette E Gadegbeku-Morris, LCSW, CAADC

  • Clinical Social Worker
  • Magnolia, DE
National Provider Identifier
1477038891
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001660 Issued in DE
Practice address
182 Fox Hollow Dr
Magnolia, DE 19962-2751
Phone
(302) 202-9657
NPI assigned
Oct 2, 2018
Last updated
Aug 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0001660 DE Primary

Addresses

Primary practice location

182 Fox Hollow Dr
Magnolia, DE 19962-2751

Mailing address

314 Greens Branch LN
Smyrna, DE 19977-1021
Phone (302) 632-2394

Other practice location 1

314 Greens Branch Ln
Smyrna, DE 19977-1021
Phone (302) 632-2394

Other practice location 2

121 W Loockerman St
Dover, DE 19904-7325
Phone (302) 674-1397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20210706001943 DC Practitioner - Clinical Social Worker 7517369168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Living Health Care Services LLCGroup PAC ID 1052748258, 5 clinicians

Practice addresses (Care Compare)

350 Eastern Ave NE
Washington, DC 20019-2833
Phone (202) 248-1422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0001660DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Living Health Care Services LLC Multi-Specialty CurrentSince Jun 23, 2021 Accepting new patients
Mind's Matter, LLC Clinical PastSince Aug 11, 2019 Accepting new patients

Locations

350 Eastern Ave NE
Washington, DC 20019
Phone (202) 248-1356

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1477038891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 GREENS BRANCH LN",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771021",
            "telephone_number": "302-632-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 FOX HOLLOW DR",
            "city": "MAGNOLIA",
            "state": "DE",
            "postal_code": "199622751",
            "telephone_number": "302-202-9657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "314 Greens Branch Ln",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "DE",
            "postal_code": "199771021",
            "country_code": "US",
            "telephone_number": "302-632-2394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 W Loockerman St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199047325",
            "country_code": "US",
            "telephone_number": "302-674-1397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADEGBEKU-MORRIS",
        "first_name": "HENRIETTE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, DE

Sources for this page

Verify at the official NPI Registry.