Active NPIIndividual providerSole proprietor

Ellen Henline, LICSW

Social Worker, Clinical in Maynard, Massachusetts

NPI Number1679052427
Practice location
14 Garfield St, Maynard, MA 01754-1850
Fax
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Last updated
August 13, 2018

Ellen Henline is a Social Worker, Clinical based in Maynard, MA. Ellen Henline practices in Maynard, MA and has the professional credentials of LICSW. The NPI Number for Ellen Henline is 1679052427 and holds a License No. 111246 (MA). The current practice location address for Ellen Henline is 14 Garfield St, Maynard, MA 01754-1850 and can be reached out via phone at 781-258-0869.

Provider Profile Details

NPI Number
1679052427
Provider Name
Ellen Henline
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
14 Garfield St, Maynard, MA 01754-1850
Phone Number
781-258-0869
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 13, 2018
Last Update Date
August 13, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Garfield St
Maynard, MA 01754-1850
Zip
01754-1850
Phone Number
781-258-0869
Maynard, MA 01754Get directions →

Provider Business Mailing Address Details

Address
14 Garfield St
Maynard, MA 01754-1850
City
Maynard
State
MA
Zip
01754-1850
Phone Number
781-258-0869

License Information

License Number
111246
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 Ellen Henline, LICSW?

The NPI number of Ellen Henline, LICSW is 1679052427. It was assigned on August 13, 2018 and is currently active in the NPPES registry.

What is the specialty of Ellen Henline, LICSW?

Ellen Henline, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 111246.

Where does Ellen Henline, LICSW practice?

The practice location is 14 Garfield St, Maynard, MA 01754-1850. The office can be reached at 781-258-0869 (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 1679052427 directly on the NPPES registry website.

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