Provider Demographics
NPI:1972704344
Name:HENKINS, JENEPHER ANN (LICSW)
Entity Type:Individual
Prefix:MS
First Name:JENEPHER
Middle Name:ANN
Last Name:HENKINS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:JENEPHER
Other - Middle Name:ANN
Other - Last Name:AUBIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26 QUEEN STREET
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01610-2473
Mailing Address - Country:US
Mailing Address - Phone:508-860-7800
Mailing Address - Fax:
Practice Address - Street 1:26 QUEEN ST STE 13
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01610-2478
Practice Address - Country:US
Practice Address - Phone:508-860-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1220221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical