Leanette Henagan, DBH. LCSW, LISAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-13621 Issued in AZ

Practice address

3039 W Peoria Ave
Ste 102-429
Phoenix, AZ 85029-5212

Phone

(602) 469-9040

NPI assigned

Feb 2, 2016

Last updated

Sep 3, 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sun Integrated Care PLLCGroup PAC ID 1052709888, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sun Integrated Care PLLC

  dba Sun Integrated Care

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1578234829
  Medicare reassignment Care Compare group
• Integrity Pain and Anesthesia PLLC

  dba Integrity Pain and Wellness

  • Pain Medicine Physician
  • Scottsdale, AZ
  • NPI 1386049070
  NPD (past)

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1811355118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3039 W PEORIA AVE",
            "address_2": "STE 102-429",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295212",
            "telephone_number": "602-469-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 W PEORIA AVE",
            "address_2": "STE 102-429",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295212",
            "telephone_number": "602-469-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENAGAN",
        "first_name": "LEANETTE",
        "name_prefix": "Dr.",
        "credential": "DBH. LCSW, LISAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-11452",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-13621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prabodh Hemmady, MD
• Kolby Raymond Hemmele, PA-C
• Alyssa Hemmen
• Melissa Renee Hemphill, CPHT
• Matthew William Hemstreet, M.D.
• Anne Henderson, MD
• Erika Shea Henderson, PA-C
• Guy Simon-Fraser Henderson, PHARMD
• Jacquelynn Dian Henderson, PA-C
• Jaime Henderson, DPT

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.