Skip A Henrie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6752601-3501 Issued in UT

Practice address

650 E 4500 S Ste 300
Murray, UT 84107-4502

Phone

(801) 261-3500

Fax

(801) 261-2111

NPI assigned

Jul 17, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1720564362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E 4500 S STE 300",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074502",
            "telephone_number": "801-261-3500",
            "fax_number": "801-261-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E 4500 S STE 300",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074502",
            "telephone_number": "801-261-3500",
            "fax_number": "801-261-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIE",
        "first_name": "SKIP",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6752601-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Hendriksen, CSW
• Kelsey Hendrix, RN
• Carolyn Heninger, MSW LCSW
• Andrea Kellie Hennig Richardson, DPT
• John N Henrie, M.D.
• Michael James Henstrom, M.D.
• Randishae Hepner
• Susan J. G. Hepworth, R.N.
• Ardyth Herbert
• Heritage Vision, LLC

• Clinical Social Worker in Murray, UT
• Providers in Murray, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.