KAITLYN D HENRIS
NPI 1013622661
Social Worker in Petaluma, CA

Active since January 18, 2023
5350 OLD REDWOOD HWY, SUITE 600, PETALUMA, CA 94954(707) 565-1270 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2026, May 2, 2024, Jan 18, 2023 (3 updates tracked since 2023).

About Kaitlyn D Henris NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLYN D HENRIS (NPI 1013622661) is an individual social worker in Petaluma, California, licensed in California (120449) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1013622661
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKAITLYN D HENRIS
Location Address5350 OLD REDWOOD HWY, SUITE 600Petaluma, CA 94954
Mailing Address5350 Old Redwood Hwy, Suite 600Petaluma, CA 94954
Sole ProprietorYes
Enumeration DateJanuary 18, 2023
Last NPPES UpdateMarch 30, 20263 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
NPI 1013622661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in CA · 120449
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
5350 OLD REDWOOD HWY, Petaluma, CA 94954

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Peer Specialist
5350 OLD REDWOOD HWY, SUITE 600
PETALUMA, CA 94954
Student in an Organized Health Care Education/Training Program
5350 OLD REDWOOD HWY, STE 600
PETALUMA, CA 94954

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlyn Henris's NPI number?

The NPI number for Kaitlyn Henris is 1013622661. It was assigned to this individual provider in the NPPES registry on January 18, 2023.

Where is Kaitlyn Henris located?

Kaitlyn Henris practices at 5350 Old Redwood Hwy Suite 600, Petaluma, CA 94954. The listed phone number is (707) 565-1270.

What is Kaitlyn Henris's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Kaitlyn Henris was last updated on March 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.