Active NPI
Lesa Henry
- Clinical Social Worker
- Battle Creek, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6802087461
- Practice address
- 140 Michigan Ave W
Battle Creek, MI 49017-3602 - Phone
- (269) 966-1460
- Fax
- (269) 966-2844
- NPI assigned
- Mar 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6802087461 | MI | Primary |
Addresses
Primary practice location
140 Michigan Ave W
Battle Creek, MI 49017-3602
Mailing address
140 Michigan Ave W
Battle Creek, MI 49017-3602
Phone (269) 966-1460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6802087461 | Other | MI | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3630 Capital Ave SW
Suite 1
Batt;E Creel, MI 49015-7376
Phone (269) 979-8333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6802087461 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Pointe | Clinical | Current | Accepting new patients |
Locations
8472 Reliable Pkwy
Chicago, IL 60686
3630 Capital Ave SW
Ste 1
Battle Creek, MI 49015
Phone (269) 979-8333
175 College St
Battle Creek, MI 49037
Phone (269) 966-1460
140 Michigan Ave W
Battle Creek, MI 49017
Phone (269) 966-1460
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": "1522368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522368000000",
"number": "1972008902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 MICHIGAN AVE W",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490173602",
"telephone_number": "269-966-1460",
"fax_number": "269-966-2844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 MICHIGAN AVE W",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490173602",
"telephone_number": "269-966-1460",
"fax_number": "269-966-2844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "LESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-30",
"last_updated": "2018-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6802087461",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "6802087461",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.