Active NPI
Annette Elizabeth Henke, LCSW
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1912162058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS16586
- Practice address
- 2609 Capitol Ave
Ste.3
Sacramento, CA 95816-5904 - Phone
- (916) 422-4814
- Fax
- (707) 265-8784
- NPI assigned
- Jul 28, 2008
- 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 | LCS16586 | CA | Primary |
Addresses
Primary practice location
2609 Capitol Ave
Ste.3
Sacramento, CA 95816-5904
Mailing address
1420 Third St
Ste 2
Napa, CA 94559-2859
Phone (707) 927-1574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20160708000045 | CA | Order and Referring Only - Clinical Social Worker | 6406148675 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS16586 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466294400000",
"number": "1912162058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 THIRD ST",
"address_2": "STE 2",
"city": "NAPA",
"state": "CA",
"postal_code": "945592859",
"telephone_number": "707-927-1574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2609 CAPITOL AVE",
"address_2": "STE.3",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165904",
"telephone_number": "916-422-4814",
"fax_number": "707-265-8784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENKE",
"first_name": "ANNETTE",
"middle_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-28",
"last_updated": "2016-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS16586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2016; 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.