Individual provider Active NPI

Sarah Nicole Henninger, LMSW

  • Social Worker
  • Saginaw, MI
National Provider Identifier
1558929125
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801104604 Issued in MI
Practice address
105 S Miller Rd
Saginaw, MI 48609-5161
Phone
(989) 833-9234
Fax
(989) 607-1982
NPI assigned
May 30, 2019
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801104604 MI Primary

Addresses

Primary practice location

105 S Miller Rd
Saginaw, MI 48609-5161

Mailing address

105 S Miller Rd
Saginaw, MI 48609-5161
Phone (989) 833-9234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 10, 2024 through Jan 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801104604MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Mi, PLLC Current Accepting new patients

Locations

105 S Miller Rd
Saginaw, MI 48609
Phone (989) 402-3366

Organizations & group practices 1

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1558929125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S MILLER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486095161",
            "telephone_number": "989-833-9234",
            "fax_number": "989-607-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S MILLER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486095161",
            "telephone_number": "989-833-9234",
            "fax_number": "989-607-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNINGER",
        "first_name": "SARAH",
        "middle_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801104604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.