Marla Davis Henry Lcsw
NPI 1104288380ActiveOrganization· Social Worker, Clinical· Deerfield, IL
Social Worker, Clinical in Deerfield, Illinois, registered in NPPES in March 2016. The authorized official on file is Marla Ilene Davis Henry, LCSW, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104288380 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 25, 2016 |
| Last updated in NPPES | Jan 20, 2023 |
| Certified by provider | Jan 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 149007033 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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