Individual provider Active NPI

Emily B Henson, CSW

  • Clinical Social Worker
  • Manchester, KY
National Provider Identifier
1699196410
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6441 Issued in KY
Practice address
56 Marie Langdon Dr
Manchester, KY 40962-6329
Phone
(606) 599-4080
Fax
(606) 598-1688
NPI assigned
Dec 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6441 KY Primary

Addresses

Primary practice location

56 Marie Langdon Dr
Manchester, KY 40962-6329

Mailing address

509 Memorial Dr Ste 2
Manchester, KY 40962-6196
Phone (606) 598-5104

Other practice location 1

509 Memorial Dr Ste 2
Manchester, KY 40962-6196
Phone (606) 598-4538

Other identifiers 2

IdentifierTypeStateIssuer
7100472840MedicaidKY
14050917OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital, Inc. Clinical CurrentSince Jul 11, 2017 Accepting new patients
Memorial Hospital Inc. CurrentSince Jul 11, 2017 Accepting new patients

Locations

1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

509 Memorial Dr
Ste 2
Manchester, KY 40962
Phone (606) 598-4384

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1699196410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MEMORIAL DR STE 2",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626196",
            "telephone_number": "606-598-5104",
            "fax_number": "606-598-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 MARIE LANGDON DR",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626329",
            "telephone_number": "606-599-4080",
            "fax_number": "606-598-1688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Memorial Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "KY",
            "postal_code": "409626196",
            "country_code": "US",
            "telephone_number": "606-598-4538",
            "fax_number": "606-599-2528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSON",
        "first_name": "EMILY",
        "middle_name": "B",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "6441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100472840",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14050917",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, KY

Sources for this page

Verify at the official NPI Registry.