Sarah Henderson, RN, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2004014814 Issued in MO

Practice address

321 Corprew St
Fayette, MO 65248-1127

Phone

(660) 248-1309

NPI assigned

Aug 20, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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

• Residential Psychiatric Services, Inc.

  • Clinical Social Worker
  • Farmington, MO
  • NPI 1467453894

  Clinical, MO

  Medicare reassignment NPD
• Skaggzzz Sleep Institute, Inc.

  • Physiological Laboratory
  • Farmington, MO
  • NPI 1306863246
  NPD (past)

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1083920599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 CORPREW ST",
            "city": "FAYETTE",
            "state": "MO",
            "postal_code": "652481127",
            "telephone_number": "660-248-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 CORPREW ST",
            "city": "FAYETTE",
            "state": "MO",
            "postal_code": "652481127",
            "telephone_number": "660-248-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "SARAH",
        "credential": "RN, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004014814",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "122543",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Gunter Gaub, PT
• Hank Ventures Inc.
• Rachel Beth Hanson, PT
• Randa Samantha Hart, LAT, ATC
• Health Care Consultants of Mid Missouri, Inc.
• Zach G Hentges
• Nathan Reed Hepner, LPC
• Howard County Ambulance District
• Howard County Commission
• Howard County Home Health and Hospice

• All providers in Fayette, MO
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.