JENNIFER L HENEBERRY (LICSW) – Social Worker, NPI 1841374782

JENNIFER L HENEBERRY (LICSW) is a healthcare provider. based in Bedford, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 110474 (MA). The NPI Number for JENNIFER L HENEBERRY (LICSW) is 1841374782

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER L HENEBERRY (LICSW)
NPI
1841374782
Phone
(781) 687-2715
Address
200 SPRINGS RD
Enumeration Date
25 October 2006
Last Update Date
13 April 2017

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6176651000
Graduation Year
1998 (28 years ago)
PAC ID
4789600347
Group Practice PAC ID
8921910894
Professional Enrollment ID
I20051022000037
Address ID
MA021391047CA1493XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for JENNIFER L HENEBERRY (LICSW)

  • Edith Nourse Rogers Memorial Veterans Hospital, 200, Springs Road, Bedford, Middlesex County, Massachusetts, 01730, United States

    BEDFORD, MA 017301114

    Phone: (781) 687-2715

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-22

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
I20051022000037IClinical Social WorkerMATBD

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 01730)

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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: 8921910894View full group profile
NameSpecialtyState
Family PracticeMA
-MA
-NH
Rheumatology, Internal MedicineMA
-MA
Emergency MedicineMA
Family PracticeMA
O B S T E T R I C S/ G Y N E C O L O G YPA
Emergency MedicineMA
Physician AssistantMA

Reviews

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Frequently asked questions

Can I cross-check JENNIFER L HENEBERRY (LICSW) using NPI 1841374782?
NPI 1841374782 belongs to JENNIFER L HENEBERRY (LICSW); compare other details if you need extra assurance.
Would JENNIFER L HENEBERRY (LICSW) appear as active to a payer?
You can treat JENNIFER L HENEBERRY (LICSW) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JENNIFER L HENEBERRY (LICSW)'s focus?
For JENNIFER L HENEBERRY (LICSW), the primary taxonomy reads as Social Worker. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is JENNIFER L HENEBERRY (LICSW) registered?
Use Bedford, Massachusetts as the headline location for JENNIFER L HENEBERRY (LICSW) here.
Can I trust this NPI listing for JENNIFER L HENEBERRY (LICSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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