Carolyn Heninger, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

136102-3501 Issued in UT

Practice address

845 East 4800 South Suite 200
Sun Dance Behavioral Resources LLC
Murray, UT 84107

Phone

(801) 264-9522

Fax

(801) 265-9604

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Behavioral Care of Ohio IncGroup PAC ID 7719325083, 67 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Optum Behavioral Care of Ohio, Inc

  • Counseling Psychologist
  • Murray, UT
  • NPI 1942076633

  UT

  Medicare reassignment Care Compare group NPD
• Optum Behavioral Care of Ohio, Inc.

  • Clinical Social Worker
  • Murray, UT
  • NPI 1992598213

  Clinical

  NPD
• Optum Behavioral Care of Ohio, Inc.

  • Clinical Social Worker
  • Maryland Heights, MO
  • NPI 1528945623

  Clinical

  NPD

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891864567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 EAST 4800 SOUTH SUITE 200",
            "address_2": "SUN DANCE BEHAVIORAL RESOURCES LLC",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-264-9522",
            "fax_number": "801-265-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 EAST 4800 SOUTH SUITE 200",
            "address_2": "SUN DANCE BEHAVIORAL RESOURCES LLC",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-264-9522",
            "fax_number": "801-265-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENINGER",
        "first_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "136102-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Helm
• Heather Leigh Hemingway-Hales, OTR/L
• Lorie Hemsley
• Elisa Hendriksen, CSW
• Kelsey Hendrix, RN
• Andrea Kellie Hennig Richardson, DPT
• John N Henrie, M.D.
• Skip A Henrie, LCSW
• Michael James Henstrom, M.D.
• Randishae Hepner

• Clinical Social Worker in Murray, UT
• Providers in Murray, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.