Jennifer Audette Henningfield, LCSW | |
28494 Westinghouse Pl Ste 213, Valencia, CA 91355-0934 | |
(661) 259-8200 | |
Not Available |
Full Name | Jennifer Audette Henningfield |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 28494 Westinghouse Pl Ste 213, Valencia, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528540465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS16000 (California) | Secondary |
1041C0700X | Social Worker - Clinical | L14213 (Oregon) | Primary |
Entity Name | Legacy Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Audette Henningfield, LCSW 25663 Estoril St, Valencia, CA 91355-2545 Ph: (661) 259-4655 | Jennifer Audette Henningfield, LCSW 28494 Westinghouse Pl Ste 213, Valencia, CA 91355-0934 Ph: (661) 259-8200 |
Lorena E. Aynalem, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27951 Smyth Dr, 103, Valencia, CA 91355 Phone: 818-584-6367 | |
Ms. Laura Zhao, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25050 Avenue Kearny Ste 203, Valencia, CA 91355 Phone: 213-207-6561 | |
Branigan Kerr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24303 Verdugo Cir, Valencia, CA 91354 Phone: 103-806-1840 | |
Ms. Samantha Padilla, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27200 Tourney Rd, Valencia, CA 91355 Phone: 310-303-9334 | |
Nasha Katrack, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23734 Valencia Blvd Ste 304, Valencia, CA 91355 Phone: 234-281-2154 | |
Miss Jeremee Michelle Bouchard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27955 Smyth Dr Ste 101, Valencia, CA 91355 Phone: 323-205-0730 Fax: 818-366-6901 | |
Mr. Donald C Goodman, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27955 Smyth Dr Ste 101, Valencia, CA 91355 Phone: 323-839-9874 Fax: 661-297-0011 |