Heather Ann Henderson, LCSW
Individual provider Active NPI Clinical Social Worker · Morganfield, KY
NPI 1023213121 · NPPES record last updated Jan 5, 2018
Key facts
- NPI
- 1023213121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 253058 (KY)
- Practice address
- 233 N Townsend St
Morganfield, KY 42437-1436 - Phone
- (270) 389-3240
- Fax
- (270) 689-6677
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180116002899 | KY | Practitioner - Clinical Social Worker | 4385902345 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 253058 | KY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3835 | OK | |
| Clinical Social Worker | 1041C0700X | 253058 | KY | Yes |
Addresses
Primary practice location
233 N Townsend St
Morganfield, KY 42437-1436
Mailing address
1100 Walnut St
Owensboro, KY 42301-2956
Phone (270) 689-6500
Other providers in Morganfield, KY
- Jaci Hagan
- Laura B Hancock Jones
- Andrea Austin Hancock
- Terry D Harmon
- Matthew Hemmerle
- Jillian Michael Humphrey
- Tim S Joiner
- Ashley Brooke Knight
- Lee Family Care PLLC
- Brenda L. Lee
All providers in Morganfield, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.