Individual provider Active NPI

Henrietta A Whelan, LISW

  • Clinical Social Worker
  • Sandusky, OH
National Provider Identifier
1952518169
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0003910 Issued in OH
Practice address
1218 Cleveland Rd
Sandusky, OH 44870-4200
Phone
(419) 626-9156
NPI assigned
May 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 I0003910 OH Primary

Addresses

Primary practice location

1218 Cleveland Rd
Sandusky, OH 44870-4200

Mailing address

424 McDonough St
1218 Cleveland Rd
Sandusky, OH 44870-2330
Phone (419) 626-9156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20231222002590 OH Practitioner - Clinical Social Worker 6002872546 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0003910OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bayshore Counseling Services, Inc. CurrentSince Nov 21, 2023 Accepting new patients
Bayshore Counseling Services, Inc. Clinical PastSince Nov 21, 2023 Accepting new patients

Locations

1634 Sycamore Line
Sandusky, OH 44870
Phone (419) 626-9156

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952518169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 MCDONOUGH ST",
            "address_2": "1218 CLEVELAND RD",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448702330",
            "telephone_number": "419-626-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 CLEVELAND RD",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704200",
            "telephone_number": "419-626-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHELAN",
        "first_name": "HENRIETTA",
        "middle_name": "A",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0003910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.