ADONICA HENNESSY – Counselor, NPI 1699219857

ADONICA HENNESSY is a healthcare provider. based in Marengo, Iowa. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 081352 (IA). The NPI Number for ADONICA HENNESSY is 1699219857

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ADONICA HENNESSY
NPI
1699219857
Phone
(319) 361-6529
Address
1061 COURT AVE
Enumeration Date
7 December 2016
Last Update Date
7 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6414844094
Graduation Year
2016 (10 years ago)
PAC ID
1355716242
Group Practice PAC ID
6507806239
Professional Enrollment ID
I20230406000800
Address ID
IA523399679TA1646XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

828 CLINICAL SOCIAL WORKER in IA

Provider Addresses for ADONICA HENNESSY

  • 1061 COURT AVE

    MARENGO, IA 523011439

    Phone: (319) 361-6529

    Type: Location

  • 2501 S CENTER ST

    MARSHALLTOWN, IA 501584562

    Phone: (319) 361-6529

    Type: Mailing

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230406000800IClinical Social WorkerIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 52301)

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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: 6507806239View full group profile
NameSpecialtyState
Family PracticeIA
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA
Marriage And Family TherapistIA
-IA
P O D I A T R YIA
Family PracticeIA
Internal MedicineIA

Reviews

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Frequently asked questions

What number should I use to identify ADONICA HENNESSY for billing?
Administrative and clinical systems typically use NPI 1699219857 for ADONICA HENNESSY.
Should I treat ADONICA HENNESSY as an active provider?
Patients and plans typically see ADONICA HENNESSY as active in the national extract.
Which specialty label fits ADONICA HENNESSY?
NPPES ties ADONICA HENNESSY to Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to ADONICA HENNESSY?
ADONICA HENNESSY shows a connection to Marengo, Iowa in registry-derived data.
Who maintains ADONICA HENNESSY's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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