Kim L Henningsgard, CAPSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

103036301 Issued in WI

Practice address

265 Griffin St E
Amery, WI 54001-1439

Phone

(715) 268-8000

NPI assigned

Nov 16, 2011

Last updated

Sep 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1932476124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 S SHORE DR",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540015100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 GRIFFIN ST E",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011439",
            "telephone_number": "715-268-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "778 S Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Amery",
            "state": "WI",
            "postal_code": "540015100",
            "country_code": "US",
            "telephone_number": "715-554-0794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNINGSGARD",
        "first_name": "KIM",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CAPSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "103036301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A Hatcher, M.D.
• Patrick C Hedlund, M.D.
• Jon Heimler, MD
• Jennifer Rene Helbig, SLP
• Joshua Hendrickson, DPT
• Ashley Hinzman, SAC
• Jason Hoechst, CRNA
• Mary Margaret Hofmeister, PT
• Addie L Holzmann, PT
• Cody James Howe

• Social Worker in Amery, WI
• Providers in Amery, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.