Individual provider Active NPI

Carli Henichek, LSW

  • Social Worker
  • Bethlehem, PA
National Provider Identifier
1982567012
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW123830 Issued in PA
Practice address
2005 City Line Rd Ste 300
Bethlehem, PA 18017-7701
Phone
(610) 865-8177
NPI assigned
Dec 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X SW123830 PA Primary

Addresses

Primary practice location

2005 City Line Rd Ste 300
Bethlehem, PA 18017-7701

Mailing address

9791 Constitution LN
Breinigsville, PA 18031-1671
Phone (610) 865-8177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW123830PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Woodling Corporation Single Specialty CurrentSince Dec 7, 2025 Accepting new patients
Quaker State Medical Services Co Inc PastSince Dec 7, 2025 Accepting new patients

Locations

2005 City Line Rd
Ste 300
Bethlehem, PA 18017
Phone (610) 865-8177

Organizations & group practices 2

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": "1764892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1982567012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9791 CONSTITUTION LN",
            "city": "BREINIGSVILLE",
            "state": "PA",
            "postal_code": "180311671",
            "telephone_number": "610-865-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 CITY LINE RD STE 300",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177701",
            "telephone_number": "610-865-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENICHEK",
        "first_name": "CARLI",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW123830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.