Individual provider Active NPI

Amy Beth Hensler

  • Social Worker
  • Fort Wayne, IN
National Provider Identifier
1982180592
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
126 W Columbia St
Fort Wayne, IN 46802-1719
Phone
(260) 203-9185
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

126 W Columbia St
Fort Wayne, IN 46802-1719

Mailing address

1619 Circle Dr
Fort Wayne, IN 46808-2285
Phone (260) 519-3085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20220302002101 MA Practitioner - Clinical Social Worker 3577957851 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthlink Inc Current Accepting new patients
Community Healthlink, Inc. CurrentSince Apr 11, 2022 Accepting new patients
Wellqor Psychological Services, PC Past Accepting new patients

Locations

40 Spruce St
Leominster, MA 01453
Phone (978) 466-3820

40 Spruce St
#2
Leominster, MA 01453
Phone (978) 534-6116

72 Jaques Ave
Worcester, MA 01610
Phone (508) 860-1154

12 Queen St
Worcester, MA 01610
Phone (508) 860-1242

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1982180592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 CIRCLE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468082285",
            "telephone_number": "260-519-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W COLUMBIA ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468021719",
            "telephone_number": "260-203-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLER",
        "first_name": "AMY",
        "middle_name": "BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.