Kelly L Henry, MSW, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1700548 Issued in OH

Practice address

601 Underwood St Ste 106
Zanesville, OH 43701-3771

Phone

(330) 969-2104

Fax

(740) 870-2631

NPI assigned

Aug 15, 2016

Last updated

Sep 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kelly Brannon Former name

Medicare fee-for-service enrollment

Enrolled in OH, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Sol Therapy LLCGroup PAC ID 5698142008, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Sol Therapy LLC

  • Clinical Social Worker
  • Zanesville, OH
  • NPI 1588391353
  Medicare reassignment Care Compare group NPD Authorized official
• Muskingum Valley Health Centers

  • Primary Care Clinic/Center
  • Malta, OH
  • NPI 1205018348
  Medicare reassignment NPD
• Polk County Dept of Administration

  • Community/Behavioral Health Agency
  • Balsam Lake, WI
  • NPI 1083837298
  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  OH

  Medicare reassignment NPD
• Muskingum Valley Health Centers

  • Primary Care Clinic/Center
  • Zanesville, OH
  • NPI 1790201168
  NPD
• Muskingum Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Zanesville, OH
  • NPI 1851285019
  NPD
• Charleston Infusion Services, LLC

  dba Vital Care of Charleston, WV

  • Home Infusion Agency
  • Charleston, WV
  • NPI 1609620855
  NPD
• Crosspoint Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Danville, IL
  • NPI 1538254214

  Social Worker

  NPD
• Polk County-Dept of Administration

  dba Polk County Health Dept/Healthcheck

  • Public Health or Welfare Agency
  • Balsam Lake, WI
  • NPI 1295964435
  NPD
• Muskingum Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Coshocton, OH
  • NPI 1902237084
  NPD (past)

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1760936165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 165",
            "city": "NEW CONCORD",
            "state": "OH",
            "postal_code": "437620165",
            "telephone_number": "405-860-8817",
            "fax_number": "740-870-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNDERWOOD ST STE 106",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013771",
            "telephone_number": "330-969-2104",
            "fax_number": "740-870-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "KELLY",
        "middle_name": "L",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0242332",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "BRANNON",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vannimul Hem
• James Henceroth
• Deanna Henderson, LPC, CRC
• Paige Nicole Hendrix, CMA
• Christina Lynn Hennessy
• John Henthorne, CRNA
• Katelyn Herman
• Raul Alberto Hernandez Jr., M.D.
• Kimberly Heskett
• Jennifer Marie Hesler

• Clinical Social Worker in Zanesville, OH
• Providers in Zanesville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.