Provider Demographics
NPI:1821121823
Name:HENDERSON COUNTY DSS
Entity Type:Organization
Organization Name:HENDERSON COUNTY DSS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROG. ADMINISTRATOR II
Authorized Official - Prefix:MRS
Authorized Official - First Name:PENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMMMEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:828-694-6318
Mailing Address - Street 1:1200 SPARTANBURG HIGHWAY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:29792-5828
Mailing Address - Country:US
Mailing Address - Phone:828-694-6318
Mailing Address - Fax:828-697-4544
Practice Address - Street 1:1200 SPARTANBURG HIGHWAY
Practice Address - Street 2:SUITE 300
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:29792-5828
Practice Address - Country:US
Practice Address - Phone:828-694-6318
Practice Address - Fax:828-697-4544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8700074Medicaid