Look up the most recent NPI and PECOS records

Shaquwanda Henry

Social Worker

Behavioral Health & Social Service Providers

1010 Auburn Ave, Lafayette, LA 70503-2308

PECOS Enrollment

Based on the most recent information from CMS, provider Shaquwanda Henry is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1821455130
Provider Type
Individual
Full Name
Henry, Shaquwanda
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
1/19/2016
Last Updated
6/4/2024

Contact Information

Practice Location

1010 Auburn Ave, Lafayette, LA 70503-2308

(337) 232-9457

Unlisted Fax

Mailing Location

1010 Auburn Ave, Lafayette, LA 70503-2308

(337) 232-9457

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 13076 Louisiana
Code 171M00000X	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License 13076 Louisiana

Shaquwanda Henry

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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