Active NPI
Jennifer Audette Henningfield, LCSW
- Clinical Social Worker
- Valencia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L14213
- Practice address
- 28494 Westinghouse PL Ste 213
Valencia, CA 91355-0934 - Phone
- (661) 259-8200
- NPI assigned
- Sep 6, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS16000 | CA | |
| Clinical Social Worker | 1041C0700X | L14213 | OR | Primary |
Addresses
Primary practice location
28494 Westinghouse PL Ste 213
Valencia, CA 91355-0934
Mailing address
25663 Estoril St
Valencia, CA 91355-2545
Phone (661) 259-4655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2725 SW Cedar Hills Blvd
Suite 250
Beaverton, OR 97005-1344
Phone (503) 415-4060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS16000 | CA | MD | Clinical Social Worker |
| L14213 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Clinics LLC | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients |
Locations
2725 SW Cedar Hills Blvd
Ste 250
Beaverton, OR 97005
Phone (503) 413-4060
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
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 and National Provider Directory roles.
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
dba Legacy Medical Group Firwood
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1528540465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25663 ESTORIL ST",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913552545",
"telephone_number": "661-259-4655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28494 WESTINGHOUSE PL STE 213",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913550934",
"telephone_number": "661-259-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNINGFIELD",
"first_name": "JENNIFER",
"middle_name": "AUDETTE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-06",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS16000",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L14213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valencia, CA
- Craig Joseph Helm, M.D.
- Sarah Helmy, DDS
- Brianna Helsley
- Suzanne Marie Henderson Holmes, MA, LMFT
- Todd Henderson
- Henry Mayo Newhall Clinics, LLC
- Henry Mayo Newhall Mem Hosp SNF
- Henry Mayo Newhall Memorial Hospital (Henry Mayo Newhall Hospital)
- Henry Mayo Newhall Memorial Hospital (Henry Mayo Newhall Hospital)
- Henry Mayo Newhall Memorial Hospital (Henry Mayo Newhall Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.