Colleen Hentz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14375 Issued in FL

Practice address

5272 Summerlin Commons Way Ste 602
Fort Myers, FL 33907-2156

Phone

(239) 297-7099

NPI assigned

Feb 24, 2020

Last updated

Feb 24, 2020By the provider in NPPES

Sex

Female

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Art Therapy Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Myers, FL
  • NPI 1427435494
  NPD

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1740814284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10491 DEAL RD",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339175241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5272 SUMMERLIN COMMONS WAY STE 602",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072156",
            "telephone_number": "239-297-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENTZ",
        "first_name": "COLLEEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "14375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Lynn Hall Hennessy, LM, CPM
• Ellen Marie Hennigan, LMHC
• Brandon Henry, MS, ATC
• Haria Henry, MD
• Rachel Henshaw, ARNP
• Pierre R Herard, M.D.
• Abelardo Heredia Laurencio, DDS
• Christy Elizabeth Heredia
• Dayris Heredia, MSN, APRN, FNP-C
• Heritage Dental P.a.

• Clinical Social Worker in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.