Corbin Henningsen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6725 Issued in OK

Practice address

1800 NE 135TH St Ste 13
Oklahoma City, OK 73131-8001

Phone

(405) 432-0973

Fax

(405) 773-6463

NPI assigned

Jul 22, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Corbin Henningsen, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oklahoma City, OK
  • NPI 1285273912
  Medicare reassignment NPD Authorized official
• Integris Ambulatory Care Corporation

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750333936
  Medicare reassignment NPD

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1558714741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 NE 135TH ST STE 13",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731318001",
            "telephone_number": "405-432-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NE 135TH ST STE 13",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731318001",
            "telephone_number": "405-432-0973",
            "fax_number": "405-773-6463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14400 Bogert Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731342653",
            "country_code": "US",
            "telephone_number": "405-302-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNINGSEN",
        "first_name": "CORBIN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-22",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "6725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, TRI-CARE, MAGELLAN",
            "identifier": "N/A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James David Henneberry, MD
• Michael Henneberry
• Thomas A Hennebry, MD
• John Paul Hennessee Jr., M.D.
• Nicole Renee Henning, B.A.
• Lindsey Kay Henningsen, LPC
• Henry M. Asin
• Amanda Gail Henry, APRN-CNS
• Baylee Blain Henry, M.S. SLP
• Charlotte Elaine Henry, LMFT, BHRS

• Clinical Social Worker in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.

Verify at the official NPI Registry.