Erin Henley, LCSW-C, LICSW
Individual provider Active NPI Clinical Social Worker · Washington, DC
NPI 1639625510 · NPPES record last updated Jul 3, 2020
Key facts
- NPI
- 1639625510
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC50082523 (DC)
- Practice address
- 4116 Chesapeake St NW Unit B
Washington, DC 20016-4608 - Phone
- (208) 351-1150
- NPI assigned
- Aug 30, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50082523 | DC | MD | Clinical Social Worker |
| 8806217-3502 | UT | MD | Clinical Social Worker |
| 24251 | MD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8806217-3502 | UT | |
| Clinical Social Worker | 1041C0700X | 24251 | MD | |
| Clinical Social Worker | 1041C0700X | LC50082523 | DC | Yes |
Addresses
Primary practice location
4116 Chesapeake St NW Unit B
Washington, DC 20016-4608
Mailing address
4116 Chesapeake St NW Unit B
Washington, DC 20016-4608
Phone (208) 351-1150
Other practice location 1
750 N Freedom Blvd
Provo, UT 84601-1677
Phone (801) 373-4760
Other practice location 2
201 4th St SE
Washington, DC 20003-1102
Phone (208) 351-1150
Other providers in Washington, DC
- Frederick Barrie Hendricks
- Janet Hendricks
- Michael Lawrence Hendricks
- Aaron Christopher Henley
- Ashley Henley
- Marlene Henley
- Nancie Elizabeth Henley
- Shea Cecil Henly
- Curtis Mitchell Henn
- Sarah Luise Henn
All providers in Washington, DC · Clinical Social Worker in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.