Rachel Lauren Henly, LICSW
Social Worker, Clinical in Shakopee, MN. Individual provider (NPI-1).
NPI number1780174938
StatusActive
Last updated in NPPESApr 6, 2023
Details
- NPI
- 1780174938
- Entity type
- Individual (NPI-1)
- Name
- Rachel Lauren Henly
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 14, 2018
- Certification date
- Apr 6, 2023
- Last updated
- Apr 6, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 24826 | MN | Yes |
Other names
- Rachel Lauren Wients (Former Name)
Practice location
200 4th Ave WShakopee, MN 55379-1220
Phone 952-496-8481
Mailing address
200 4th Ave WShakopee, MN 55379-1220
Phone 952-496-8481
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 38 Clinical Social Worker providers in Shakopee · All 901 providers in Shakopee
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