Active NPIIndividual provider

Mr. Shaun B Henry, LCSW

Social Worker in East Orange, New Jersey

NPI Number1104130509
Practice location
385 Tremont Ave, East Orange, NJ 07018-1023
Fax
973-395-7003
Last updated
June 11, 2020

Shaun Burgess Henry is a Social Worker based in East Orange, NJ. Shaun Burgess Henry practices in East Orange, NJ and has the professional credentials of LCSW. The NPI Number for Shaun Burgess Henry is 1104130509 and holds a License No. 077314 (NY). The current practice location address for Shaun Burgess Henry is 385 Tremont Ave, East Orange, NJ 07018-1023 and can be reached out via phone at 973-676-1000 and via fax at 973-395-7003.

Provider Profile Details

NPI Number
1104130509
Provider Name
Shaun Burgess Henry
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
385 Tremont Ave, East Orange, NJ 07018-1023
Phone Number
973-676-1000
Fax Number
973-395-7003
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
July 28, 2010
Last Update Date
June 11, 2020
Certification Date
June 11, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
385 Tremont Ave
East Orange, NJ 07018-1023
Zip
07018-1023
Phone Number
973-676-1000
Fax Number
973-395-7003
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
385 Tremont Ave
East Orange, NJ 07018-1023
City
East Orange
State
NJ
Zip
07018-1023
Phone Number
973-676-1000
Fax Number
973-395-7003

License Information

License Number
077314
License State
NY
Taxonomy
Social Worker · 104100000X · 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 Mr. Shaun B Henry, LCSW?

The NPI number of Mr. Shaun B Henry, LCSW is 1104130509. It was assigned on July 28, 2010 and is currently active in the NPPES registry.

What is the specialty of Mr. Shaun B Henry, LCSW?

Mr. Shaun B Henry, LCSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NY under license number 077314.

Where does Mr. Shaun B Henry, LCSW practice?

The practice location is 385 Tremont Ave, East Orange, NJ 07018-1023. The office can be reached at 973-676-1000 (phone) or 973-395-7003 (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 1104130509 directly on the NPPES registry website.

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