Individual provider Active NPI

Magen Elizabeth Henley, LCSW

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1770215675
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C017863 Issued in NC
Practice address
204 Charlotte Hwy Ste E
Asheville, NC 28803-8681
Phone
(828) 333-5708
Fax
(828) 484-1025
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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 C017863 NC Primary

Addresses

Primary practice location

204 Charlotte Hwy Ste E
Asheville, NC 28803-8681

Mailing address

116 Breezewood Dr Apt B
Greenville, NC 27858-8838
Phone (252) 341-8473

Other practice location 1

2245 Stantonsburg Rd Ste P
Greenville, NC 27834-2868
Phone (252) 689-7117

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

State licenses

LicenseStateTypeSpecialty
C017863NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Responder Support Services CurrentSince Oct 13, 2024 Accepting new patients
Journeys in Mental Health & Wellness, PLLC CurrentSince Aug 10, 2022 Accepting new patients

Locations

204 Charlotte Hwy
Ste E
Asheville, NC 28803
Phone (828) 333-5708

3134 Wendell Blvd
Wendell, NC 27591
Phone (919) 374-7285

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1770215675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BREEZEWOOD DR APT B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278588838",
            "telephone_number": "252-341-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CHARLOTTE HWY STE E",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038681",
            "telephone_number": "828-333-5708",
            "fax_number": "828-484-1025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2245 Stantonsburg Rd Ste P",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342868",
            "country_code": "US",
            "telephone_number": "252-689-7117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENLEY",
        "first_name": "MAGEN",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.