Sally Jane Henrickson, RN/LCSW

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

075944 Issued in MO

Practice address

800 N Tucker Blvd
Saint Louis, MO 63101-1114

Phone

(314) 802-1975

Fax

(314) 802-1983

NPI assigned

Jun 8, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1922234764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N TUCKER BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631011114",
            "telephone_number": "314-802-1975",
            "fax_number": "314-802-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N TUCKER BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631011114",
            "telephone_number": "314-802-1975",
            "fax_number": "314-802-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRICKSON",
        "first_name": "SALLY",
        "middle_name": "JANE",
        "credential": "RN/LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "075944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Hennessy, OT
• Mary Bridget Hennicke, MSW, LCSW
• Nicholas Louis Hennicke
• Bernadette M Henrichs, CRNA
• Jared Henrichs, M.D.
• Belinda Henriksen, APRN, BC
• Henry R. Bollinger, III, DDS, PC
• Erica Henry-Frazer, BSW
• Dermond Cortez Henry, D.O.
• Janeen Henry

• Registered Nurse in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.