Individual provider Active NPI

Victoria Claire Henderson, MSW, LCSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1063744308
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
094526-01 Issued in NY
Practice address
3019 Monroe Ave Ste 200R
Rochester, NY 14618-4600
Phone
(631) 741-1610
NPI assigned
Feb 11, 2010
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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 094526-01 NY Primary

Addresses

Primary practice location

3019 Monroe Ave Ste 200R
Rochester, NY 14618-4600

Mailing address

3019 Monroe Ave Ste 200R
Rochester, NY 14618-4600
Phone (631) 741-1610

Other names 1

  • Miss Victoria Fleming Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205002449 NY Practitioner - Clinical Social Worker 4587007786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3019 Monroe Ave
Suite 200R
Rochester, NY 14618-4600
Phone (585) 572-7017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
094526-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
GP Psychology PLLC CurrentSince Jul 1, 2026 Accepting new patients
Monroe Licensed Clinical Social Work, P.C. Clinical CurrentSince Apr 28, 2023 Accepting new patients
Family and Children's Association - Linkage Past Accepting new patients

Locations

3019 Monroe Ave
Ste 200R
Rochester, NY 14618
Phone (585) 572-7017

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1063744308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 MONROE AVE STE 200R",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184600",
            "telephone_number": "631-741-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 MONROE AVE STE 200R",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184600",
            "telephone_number": "631-741-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "VICTORIA",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "094526-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "FLEMING",
            "prefix": "MISS",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.