MR. SHAUN BURGESS HENRY LCSW
NPI 1104130509
Social Worker in East Orange, NJ

Q: What is Shaun Henry's NPI number?

The NPI number for Shaun Henry is 1104130509. It was assigned to this individual provider in the NPPES registry on July 28, 2010.

Q: What is Shaun Henry's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shaun Henry was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 28, 2010PECOS Enrolled

385 TREMONT AVE, EAST ORANGE, NJ 07018(973) 676-1000(973) 395-7003 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Shaun Burgess Henry Lcsw NPPES

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

MR. SHAUN BURGESS HENRY LCSW (NPI 1104130509) is an individual social worker in East Orange, New Jersey, licensed in New York (077314) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104130509

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameMR. SHAUN BURGESS HENRYCredential: LCSW

Location Address385 TREMONT AVEEast Orange, NJ 07018-1023

Mailing Address385 Tremont AveEast Orange, NJ 07018-1023 · (973) 676-1000 · Fax (973) 395-7003

Phone(973) 676-1000

Fax(973) 395-7003

Sole ProprietorNo

Enumeration DateJuly 28, 2010

Last NPPES UpdateJune 11, 2020

NPPES CertifiedJune 11, 2020

✔ NPI 1104130509 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 NY · 077314

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.

385 TREMONT AVE, East Orange, NJ 07018

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Shaun Burgess Henry Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MRS. GWENDOLYN CARMEL RVT

Specialist/Technologist Cardiovascular (Vascular Specialist)

385 TREMONT AVE, 112
EAST ORANGE, NJ 07018

Essex County (973) 676-1000

EBONY MARIE HAWKES LPN

Licensed Practical Nurse