Individual provider Active NPI

Emaline Davis Henard, LCSW

  • Clinical Social Worker
  • Alexandria, VA
National Provider Identifier
1700059078
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904000107 Issued in VA
Practice address
1360 N. Pegram Street
Alexandria, VA 22304-1932
Phone
(703) 751-1985
NPI assigned
Apr 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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 0904000107 VA Primary

Addresses

Primary practice location

1360 N. Pegram Street
Alexandria, VA 22304-1932

Mailing address

1360 N. Pegram Street
Alexandria, VA 22304-1932
Phone (703) 751-1985

Other names 1

  • Ms. Emaline Henard Skolnick Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1700059078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 N. PEGRAM STREET",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041932",
            "telephone_number": "703-751-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 N. PEGRAM STREET",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041932",
            "telephone_number": "703-751-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENARD",
        "first_name": "EMALINE",
        "middle_name": "DAVIS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMALINE",
            "last_name": "SKOLNICK",
            "middle_name": "HENARD",
            "prefix": "MS.",
            "credential": "LCSW-",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.