Active NPI
Destiny Henkel, LCSW
- Clinical Social Worker
- Norwich, CT
National Provider Identifier
1831897412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12812
- Practice address
- 12 Case St Ste 103
Norwich, CT 06360-2222 - Phone
- (860) 222-0949
- Fax
- (855) 538-2802
- NPI assigned
- Feb 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12812 | CT | Primary |
Addresses
Primary practice location
12 Case St Ste 103
Norwich, CT 06360-2222
Mailing address
54 North St
Willimantic, CT 06226-2528
Phone (860) 450-0151
Other practice location 1
54 North St
Willimantic, CT 06226-2528
Phone (860) 450-0151 ext. 2123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230321002058 | CT | Order and Referring Only - Clinical Social Worker | 8729452461 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12812 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nafi Connecticut Inc. | Current | Accepting new patients | |
| Perception Programs Inc | Past | Accepting new patients |
Locations
54 North St
Willimantic, CT 06226
Phone (860) 450-0151
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/perceptionprograms/r4/
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 and National Provider Directory roles.
-
- Clinic/Center
- Hartford, CT
- NPI 1619258449
-
- Substance Abuse Rehabilitation Facility
- Willimantic, CT
- NPI 1568530319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1831897412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 NORTH ST",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062262528",
"telephone_number": "860-450-0151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CASE ST STE 103",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602222",
"telephone_number": "860-222-0949",
"fax_number": "855-538-2802"
}
],
"practiceLocations": [
{
"address_1": "54 North St",
"address_purpose": "LOCATION",
"city": "Willimantic",
"state": "CT",
"postal_code": "062262528",
"country_code": "US",
"telephone_number": "860-450-0151 x2123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENKEL",
"first_name": "DESTINY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-22",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "12812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.