Mary Ann Hennig, LMSW, ACSW, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801013376 Issued in MI

Practice address

6599 Greene Haven Dr
Clarkston, MI 48348-4419

Phone

(248) 408-7735

Fax

(248) 625-7470

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1952328601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6599 GREENE HAVEN DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484419",
            "telephone_number": "248-408-7735",
            "fax_number": "248-625-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6599 GREENE HAVEN DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484419",
            "telephone_number": "248-408-7735",
            "fax_number": "248-625-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNIG",
        "first_name": "MARY ANN",
        "name_prefix": "Ms.",
        "credential": "LMSW, ACSW, BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801013376",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101005183",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pam Heany
• Kaeleigh Heatley, LLMSW
• Alexis Ann Hegedus, LLMSW
• Stephanie Denise Wilson Hegle, LPC
• Mark E Heim, CLINICAL PSYCH
• Henry Ford Hospital
• Madison Henry, LMSW
• Milly Yvonne Henry
• Ava Herberger
• Karen Hernandez

• Clinical Social Worker in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.