Active NPIIndividual providerSole proprietor

Dr. Mary Ellen Henry, PHD, LICSW

Social Worker, Clinical in Provincetown, Massachusetts

NPI Number1659415396
Practice location
50 Commercial St, Provincetown, MA 02657-1912
Fax
—
Last updated
July 9, 2007

Mary Ellen Henry is a Social Worker, Clinical based in Provincetown, MA. Mary Ellen Henry practices in Provincetown, MA and has the professional credentials of PHD, LICSW. The NPI Number for Mary Ellen Henry is 1659415396 and holds a License No. 1028357 (MA). The current practice location address for Mary Ellen Henry is 50 Commercial St, Provincetown, MA 02657-1912 and can be reached out via phone at 508-487-2698.

Provider Profile Details

NPI Number
1659415396
Provider Name
Mary Ellen Henry
Credential
PHD, LICSW
Provider Entity Type
Individual
Gender
Female
Address
50 Commercial St, Provincetown, MA 02657-1912
Phone Number
508-487-2698
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 16, 2007
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 Commercial St
Provincetown, MA 02657-1912
Zip
02657-1912
Phone Number
508-487-2698
Provincetown, MA 02657Get directions →

Provider Business Mailing Address Details

Address
50 Commercial St
Provincetown, MA 02657-1912
City
Provincetown
State
MA
Zip
02657-1912
Phone Number
508-487-2698

License Information

License Number
1028357
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 Dr. Mary Ellen Henry, PHD, LICSW?

The NPI number of Dr. Mary Ellen Henry, PHD, LICSW is 1659415396. It was assigned on February 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Mary Ellen Henry, PHD, LICSW?

Dr. Mary Ellen Henry, PHD, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1028357.

Where does Dr. Mary Ellen Henry, PHD, LICSW practice?

The practice location is 50 Commercial St, Provincetown, MA 02657-1912. The office can be reached at 508-487-2698 (phone).

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 1659415396 directly on the NPPES registry website.

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