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

Individual provider Mental Health Counselor · NPI 1104916428

Mr. Stephen William Henneka, LCSW is a Mental Health Counselor in Saint Augustine, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1100 S Ponce De Leon Blvd Ste 1
Saint Augustine, FL 32084-6013
Phone: (904) 824-7733
Fax: (904) 829-9768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW0002939 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence SW0002939 (FL)

Record details

NPI number1104916428
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 15, 2006
Last updated in NPPESJanuary 14, 2015

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