KELLY L HENRY (MSW, LISW-S) – Clinical Social Worker, NPI 1760936165
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,650 CLINICAL SOCIAL WORKER in OH
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Provider Addresses for KELLY L HENRY (MSW, LISW-S)
PO BOX 165
NEW CONCORD, OH 437620165
Phone: (405) 860-8817
Fax: (740) 870-2631
Type: Mailing
859, North Main Street, Malta, Morgan County, Ohio, 43758, United States
MALTA, OH 437589007
Phone: (740) 962-1600
Fax: (740) 962-1657
Type: Mailing
716, Adair Avenue, McIntire Terrace Historic District, Zanesville, Muskingum County, Ohio, 43701, United States
ZANESVILLE, OH 437012836
Phone: (740) 891-9000
Fax: (740) 891-9001
Type: Location
2845 BELL ST
ZANESVILLE, OH 437011720
Phone: (740) 454-9766
Fax: (740) 588-6452
Type: Mailing
601 UNDERWOOD ST STE 106
ZANESVILLE, OH 437013771
Phone: (330) 969-2104
Fax: (740) 870-2631
Type: Location
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: 2023-10-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171017002733 | I | Clinical Social Worker | OH | TBD |
| I20230112001909 | I | Clinical Social Worker | WI | TBD |
| I20231030001574 | I | Clinical Social Worker | IL | TBD |
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.
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 43762)
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