Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 1041C0700X | Social Worker | Clinical | 10508 | MARYLAND | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 289P598G | MEDICARE ID-TYPE UNSPECIFIED | MARYLAND | FOR SUSAN H. MCHENRY |
| 2 | 100089335 | OTHER | MARYLAND | APS HEALTHCARE PROV NUM |
| 3 | 289P | MEDICARE ID-TYPE UNSPECIFIED | MARYLAND | MEDICARE NUMBER FOR OHCC |
| 4 | 217649471 | OTHER | MARYLAND | TRICARE STANDARD PPO NUM |
| 5 | 5677 | OTHER | MARYLAND | BCBS OF DC PROVIDER NUM |
| 6 | 2273367 | OTHER | MARYLAND | CIGNA BEHAVIORAL PROV NUM |
| 7 | 371103 | OTHER | MARYLAND | MHN PROVIDER NUM |
| 8 | 1133183 | OTHER | MARYLAND | AETNA PROVIDER NUMBER |
| 9 | XXXX | OTHER | MARYLAND | TRICARE PRIME PROV NUM |
| 10 | 740207 | OTHER | MARYLAND | NCPPO PROVIDER NUM |
| 11 | 239C,64703301 | OTHER | MARYLAND | BCBS OF MD PROVIDER NUM |
| 12 | 5677 | OTHER | MARYLAND | BCBS FEDERAL PROVIDER NUM |
