Individual provider Active NPI

Remony Burlingame Henry, LICSW

  • Clinical Social Worker
  • Vashon, WA
National Provider Identifier
1841364304
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00008822 Issued in WA
Practice address
18017 Vashon Hwy SW
Vashon, WA 98070-5205
Phone
(206) 463-2945
Fax
(206) 463-4714
NPI assigned
Nov 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW00008822 WA Primary
Clinical Social Worker 1041C0700X LCS22166 CA

Addresses

Primary practice location

18017 Vashon Hwy SW
Vashon, WA 98070-5205

Mailing address

PO Box 2105
Vashon, WA 98070-2105
Phone (206) 463-2945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20081015000192 WA Practitioner - Clinical Social Worker 4981762200 Reassigns benefits to 1 organization
Practice locations: Vashon, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18017 Vashon Hwy SW
Full Circle Wellness Center
Vashon, WA 98070-5205
Phone (206) 819-0164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS22166CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborcare Health CurrentSince Jul 24, 2017 Accepting new patients
Neighborcare Health CurrentSince Jul 24, 2017 Accepting new patients
Neighborcare Health Current Accepting new patients
Aging Stewardship LLC Clinical PastSince Nov 14, 2014 Accepting new patients

Locations

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

10030 SW 210th St
Vashon, WA 98070
Phone (206) 463-3671

Organizations & group practices 4

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841364304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2105",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980702105",
            "telephone_number": "206-463-2945",
            "fax_number": "206-463-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18017 VASHON HWY SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980705205",
            "telephone_number": "206-463-2945",
            "fax_number": "206-463-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "REMONY",
        "middle_name": "BURLINGAME",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00008822",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22166",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vashon, WA

Sources for this page

Verify at the official NPI Registry.