Active NPI
Susan H McHenry
- Clinical Social Worker
- Waldorf, MD
National Provider Identifier
1669412177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10508
- Legal business name
- SUSAN H MCHENRY
- Practice address
- 13104 Poplar Hill Rd
Waldorf, MD 20601-2048 - Phone
- (301) 751-2058
- Fax
- (301) 632-9595
- NPI assigned
- Jun 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Susan Henderson McHenry, LCSW-C
- Title
- Owner / Therapist
- Phone
- (301) 751-2058
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10508 | MD | Primary |
Addresses
Primary practice location
13104 Poplar Hill Rd
Waldorf, MD 20601-2048
Mailing address
13104 Poplar Hill Rd
Waldorf, MD 20601-2048
Phone (301) 751-2058
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2273367 | Other | MD | CIGNA BEHAVIORAL PROV NUM |
| 100089335 | Other | MD | APS HEALTHCARE PROV NUM |
| 1133183 | Other | MD | AETNA PROVIDER NUMBER |
| 217-64-9471 | Other | MD | TRICARE PRIME PROV NUM |
| 371103 | Other | MD | MHN PROVIDER NUM |
| 239C,64703301 | Other | MD | BCBS OF MD PROVIDER NUM |
| 5677 | Other | MD | BCBS FEDERAL PROVIDER NUM |
| 5677 | Other | MD | BCBS OF DC PROVIDER NUM |
| 217649471 | Other | MD | TRICARE STANDARD PPO NUM |
| 740207 | Other | MD | NCPPO PROVIDER NUM |
Other names 1
- Open Heart Christian Counseling
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Williamsburg, VA
- NPI 1265471189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217548800000",
"number": "1669412177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13104 POPLAR HILL RD",
"city": "WALDORF",
"state": "MD",
"postal_code": "206012048",
"telephone_number": "301-751-2058",
"fax_number": "301-632-9595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13104 POPLAR HILL RD",
"city": "WALDORF",
"state": "MD",
"postal_code": "206012048",
"telephone_number": "301-751-2058",
"fax_number": "301-632-9595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN H MCHENRY",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2008-08-01",
"status": "A",
"authorized_official_last_name": "MCHENRY",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "HENDERSON",
"authorized_official_title_or_position": "OWNER / THERAPIST",
"authorized_official_telephone_number": "301-751-2058",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "10508",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL PROV NUM",
"identifier": "2273367",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS HEALTHCARE PROV NUM",
"identifier": "100089335",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "1133183",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PRIME PROV NUM",
"identifier": "217-64-9471",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN PROVIDER NUM",
"identifier": "371103",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MD PROVIDER NUM",
"identifier": "239C,64703301",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FEDERAL PROVIDER NUM",
"identifier": "5677",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF DC PROVIDER NUM",
"identifier": "5677",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE STANDARD PPO NUM",
"identifier": "217649471",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO PROVIDER NUM",
"identifier": "740207",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Open Heart Christian Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Waldorf, MD
- Surgical Associates Chartered
- Surgical Associates Chartered
- Surgical Associates, Chartered
- Surgical Associates, Chartered
- Surgical Associates, Chartered
- Carlton Sutton, BCBA
- Melinda Lee Sutton, M.D.
- Synchrony Behavioral Health Services LLC
- Synergy Medical Group, LLC
- Synergy Wellness Therapeutic Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.