Individual provider Active NPI

Cinder Henry

  • Clinical Social Worker
  • Jackson, MS
National Provider Identifier
1013783927
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW03443 Issued in RI
Practice address
1286 W Northside Dr Ste a
Jackson, MS 39213-4910
Phone
(601) 398-4388
NPI assigned
Dec 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW03443 RI Primary

Addresses

Primary practice location

1286 W Northside Dr Ste a
Jackson, MS 39213-4910

Mailing address

326 Swan Lake Dr
Jackson, MS 39212-5338
Phone (601) 937-0419

Other practice location 1

1150 Reservoir Ave Ste 203
Cranston, RI 02920-6032
Phone (401) 259-0340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW03443RIMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1013783927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 SWAN LAKE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392125338",
            "telephone_number": "601-937-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 W NORTHSIDE DR STE A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392134910",
            "telephone_number": "601-398-4388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 Reservoir Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029206032",
            "country_code": "US",
            "telephone_number": "401-259-0340",
            "fax_number": "401-213-8538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "CINDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-01",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW03443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.