Individual provider Active NPI

Elizabeth Henrich, LCSW-C

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1922427194
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14919 Issued in MD
Practice address
966 Hungerford Dr Ste 20a
Rockville, MD 20850-1741
Phone
(240) 681-5058
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14919 MD Primary

Addresses

Primary practice location

966 Hungerford Dr Ste 20a
Rockville, MD 20850-1741

Mailing address

966 Hungerford Dr Ste 20a
Rockville, MD 20850-1741
Phone (240) 681-5058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20150420000613 DC Practitioner - Clinical Social Worker 0446578603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healing Waters Psychotherapy LLCGroup PAC ID 1355692088, 3 clinicians

Practice addresses (Care Compare)

966 Hungerford Dr
Suite 20a
Rockville, MD 20850-1741
Phone (240) 681-5058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Waters Psychotherapy, LLC Clinical CurrentSince Jun 27, 2018 Accepting new patients

Locations

4940 Hampden Ln
Ste 210
Bethesda, MD 20814
Phone (240) 681-5058

966 Hungerford Dr
Ste 20A
Rockville, MD 20850
Phone (240) 482-9130

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1922427194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 HUNGERFORD DR STE 20A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501741",
            "telephone_number": "240-681-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 HUNGERFORD DR STE 20A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501741",
            "telephone_number": "240-681-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRICH",
        "first_name": "ELIZABETH",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.