Angela M Henry Msw

LBN: Angela M Henry Msw
Angela M Henry Msw is an health care organization with primary practice located at 1801 Bader Ave , South Bend IN 46617-2523. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as the primary health care specialty. Angela M Henry Msw can be contacted via phone (574) 233-5595, or through Henry, Angela M via phone (574) 233-5595.

Contact Information

Primary practice address
1801 Bader Ave South Bend IN 46617-2523
Phone: (574) 233-5595
Fax: (574) 282-1770
Website:
Map and Directions
Authorized official contact:
Name: Henry, Angela M MSW
Phone: (574) 233-5595

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1922267194
LBN Legal business name Angela M Henry Msw
DBA Doing business as
Authorized official Henry, Angela M MSW
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2008
Last updated Jun 3rd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922267194 NPPES
Indiana MEDICAID 200732930
Indiana MEDICAID 200678030

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