Jessica C. Henkel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005937 Issued in NC

Practice address

10001 Old Concord Road
Charlotte, NC 28213-3646

Phone

(704) 547-1483

Fax

(704) 547-0052

NPI assigned

Nov 14, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1649424862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568",
            "city": "NEWELL",
            "state": "NC",
            "postal_code": "281260568",
            "telephone_number": "704-547-1483",
            "fax_number": "704-547-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 OLD CONCORD ROAD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282133646",
            "telephone_number": "704-547-1483",
            "fax_number": "704-547-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKEL",
        "first_name": "JESSICA",
        "middle_name": "C.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007194",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nneka Avery Hendrix, MD
• Shamara Hendry
• Martin McMillan Henegar, MD
• Brant Todd Heniford, MD
• Briana Wright Heniford, MD
• Rebecca Ann Henley
• Kaitlin Elizabeth Hennelly, DNP, NNP-BC
• Janice B. Hennessee, LCSW
• Melissa Camille Hennessey, M.D.
• Joyce Davis Hennessy, MSW LCSW

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.