Individual provider Active NPI

Mary Ann Bailey Henry, LCSW

  • Social Worker
  • Virginia Beach, VA
National Provider Identifier
1801997507
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0904003282 Issued in VA
Practice address
505 S Independence Blvd
Ste 207
Virginia Beach, VA 23452-1150
Phone
(757) 497-4965
Fax
(757) 497-4197
NPI assigned
Sep 26, 2006
Last updated
Jan 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0904003282 VA Primary

Addresses

Primary practice location

505 S Independence Blvd
Ste 207
Virginia Beach, VA 23452-1150

Mailing address

505 S Independence Blvd
Ste 207
Virginia Beach, VA 23452-1150

Other identifiers 3

IdentifierTypeStateIssuer
055499OtherANTHEM BLUE CROSS
000809OtherVALUE OPTIONS
344120OtherTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100618000074 VA Practitioner - Clinical Social Worker 5092845073 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0904003282VAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Glass and Henry PC CurrentSince Mar 12, 1991 Accepting new patients

Locations

505 S Independence Blvd
Ste 207
Virginia Beach, VA 23452
Phone (757) 490-6463

Organizations & group practices 1

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1801997507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S INDEPENDENCE BLVD",
            "address_2": "STE 207",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S INDEPENDENCE BLVD",
            "address_2": "STE 207",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521150",
            "telephone_number": "757-497-4965",
            "fax_number": "757-497-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY HENRY",
        "first_name": "MARY ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0904003282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "055499",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "000809",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "344120",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.