Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Hennicke, CSW

Individual provider Clinical Social Worker · NPI 1831562404

Mary Hennicke, CSW is a Clinical Social Worker in Cheyenne, Wyoming. Practices as a sole proprietor. Licensed in Wyoming.

Licensed in
WY
In the registry since
2015

Practice location Address checks out

821 W Pershing Blvd
Cheyenne, WY 82001-2537
Phone: (307) 638-4625
Fax: (307) 635-3965
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW-248 (WY)

Record details

NPI number1831562404
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSW
Sole proprietorYes
NPI enumeratedNovember 4, 2015
Last updated in NPPESNovember 4, 2015

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