Individual provider Active NPI

Jean Henry, PH.D. M.S.S.

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1477710093
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW007233 Issued in PA
Practice address
1608 Walnut St
Ste 1300
Philadelphia, PA 19103-5457
Phone
(215) 731-9993
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2008

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 CW007233 PA Primary

Addresses

Primary practice location

1608 Walnut St
Ste 1300
Philadelphia, PA 19103-5457

Mailing address

220 W Rittenhouse SQ
Ste 11 a
Philadelphia, PA 19103-5737
Phone (215) 731-9993

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CW007233PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1477710093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W RITTENHOUSE SQ",
            "address_2": "STE 11 A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035737",
            "telephone_number": "215-731-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 WALNUT ST",
            "address_2": "STE 1300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035457",
            "telephone_number": "215-731-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D. M.S.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW007233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.