MR. STEPHEN WILLIAM HENNEKA (L.C.S.W.) – Clinical Social Worker, NPI 1104916428

MR. STEPHEN WILLIAM HENNEKA (L.C.S.W.) is a healthcare provider. based in Saint augustine, Florida. specializing in Clinical Social Worker. They hold the professional credentials L.C.S.W.. They hold a License No. SW0002939 (FL). The NPI Number for MR. STEPHEN WILLIAM HENNEKA (L.C.S.W.) is 1104916428

Main info

Male
Sole Proprietor
53 Years Of Experience
Accepts Medicare Assignment
Name
MR. STEPHEN WILLIAM HENNEKA (L.C.S.W.)
NPI
1104916428
Phone
(904) 824-7733
Address
1100 S PONCE DE LEON BLVD STE 1
Enumeration Date
15 October 2006
Last Update Date
14 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9413630878
Graduation Year
1973 (53 years ago)
PAC ID
7618117359
Group Practice PAC ID
3779822119
Professional Enrollment ID
I20130701000548
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MR. STEPHEN WILLIAM HENNEKA (L.C.S.W.)

  • 1100 S PONCE DE LEON BLVD STE 1

    SAINT AUGUSTINE, FL 320846013

    Phone: (904) 824-7733

    Fax: (904) 829-9768

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32084)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779822119View full group profile

Reviews

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Frequently asked questions

What number should I use to identify MR. STEPHEN WILLIAM HENNEKA (L.C.S.W.) for billing?
Administrative and clinical systems typically use NPI 1104916428 for MR. STEPHEN WILLIAM HENNEKA (L.C.S.W.).
Should I treat MR. STEPHEN WILLIAM HENNEKA (L.C.S.W.) as an active provider?
Patients and plans typically see MR. STEPHEN WILLIAM HENNEKA (L.C.S.W.) as active in the national extract.
How should patients interpret MR. STEPHEN WILLIAM HENNEKA (L.C.S.W.)'s specialty?
The extract shows Clinical Social Worker for MR. STEPHEN WILLIAM HENNEKA (L.C.S.W.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. STEPHEN WILLIAM HENNEKA (L.C.S.W.)?
MR. STEPHEN WILLIAM HENNEKA (L.C.S.W.) is associated with Saint Augustine, Florida in the same public data insurers reference.
Why is information missing for MR. STEPHEN WILLIAM HENNEKA (L.C.S.W.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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