Active NPIIndividual provider

Marilyn A Hennigan, LICSW

Social Worker, Clinical in Worcester, Massachusetts

NPI Number1083901904
Practice location
275 Belmont St, Worcester, MA 01604-1675
Fax
508-795-1338
Last updated
June 29, 2011

Marilyn Ann Hennigan is a Social Worker, Clinical based in Worcester, MA. Marilyn Ann Hennigan practices in Worcester, MA and has the professional credentials of LICSW. The NPI Number for Marilyn Ann Hennigan is 1083901904 and holds a License No. 1023039 (MA). The current practice location address for Marilyn Ann Hennigan is 275 Belmont St, Worcester, MA 01604-1675 and can be reached out via phone at 508-791-3261 and via fax at 508-795-1338.

Provider Profile Details

NPI Number
1083901904
Provider Name
Marilyn Ann Hennigan
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
275 Belmont St, Worcester, MA 01604-1675
Phone Number
508-791-3261
Fax Number
508-795-1338
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
-- Lynn Ann Hennigan, LICSW (Other Name)
Provider Enumeration Date
June 29, 2011
Last Update Date
June 29, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
275 Belmont St
Worcester, MA 01604-1675
Zip
01604-1675
Phone Number
508-791-3261
Fax Number
508-795-1338
Worcester, MA 01604Get directions →

Provider Business Mailing Address Details

Address
275 Belmont St
Worcester, MA 01604-1675
City
Worcester
State
MA
Zip
01604-1675
Phone Number
508-791-3261
Fax Number
508-795-1338

License Information

License Number
1023039
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marilyn A Hennigan, LICSW?

The NPI number of Marilyn A Hennigan, LICSW is 1083901904. It was assigned on June 29, 2011 and is currently active in the NPPES registry.

What is the specialty of Marilyn A Hennigan, LICSW?

Marilyn A Hennigan, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1023039.

Where does Marilyn A Hennigan, LICSW practice?

The practice location is 275 Belmont St, Worcester, MA 01604-1675. The office can be reached at 508-791-3261 (phone) or 508-795-1338 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083901904 directly on the NPPES registry website.

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