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NPI Code Detail

MEDICARE: DR. SANNE HENNINGER LCSW

MEDICARE: DR. SANNE HENNINGER LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC000707NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
114107OTHERNCBCBS PROVIDER NUMBER
214107OTHERNCBCBS

General Provider Information

NPI Number : 1710928460
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANNE HENNINGER LCSW
Provider Business Mailing Address
First Line : 10336 RIVER BANK DR
Second Line :
City : RALEIGH
State : NC
Zip : 27614-8930
Country : US
Telephone Number : 919-523-8037
Fax Number :
Provider Business Practice Location Address
First Line : 8480 HONEYCUTT RD STE 200
Second Line :
City : RALEIGH
State : NC
Zip : 27615-2261
Country : US
Telephone Number : 984-367-4061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 01/31/2025

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Directions to “ DR. SANNE HENNINGER LCSW” Practice Location

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