Marguerite J Henderson LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149006783 Issued in IL

Legal business name

MARGUERITE J HENDERSON LCSW PC

Practice address

1431 N Western Ave
Suite 504
Chicago, IL 60622-1797

Phone

(773) 645-3457

Fax

(773) 645-3453

NPI assigned

Jul 28, 2010

Organization subpart

No

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

Authorized official

Name

Marguerite J Henderson, LCSW

Title

Licensed Clinical Social Worker

Phone

(773) 645-3457

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1093029407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 N WESTERN AVE",
            "address_2": "SUITE 504",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221797",
            "fax_number": "773-645-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N WESTERN AVE",
            "address_2": "SUITE 504",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221797",
            "telephone_number": "773-645-3457",
            "fax_number": "773-645-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGUERITE J HENDERSON LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MARGUERITE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "773-645-3457",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149006783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1861429847",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "210507",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "149006783",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ben Margolis
• Adam Margolius, MD
• Margot Greer Psychotherapy and Integration PLLC
• Margret Frances O'Reilly Psy.D., LLC
• Margret Nickels Psychologist LTD
• Amy S. Margulies, R.D,, C.D.E,, L,D.N.
• Julia Margulies, NP-C
• Courtney Luckman Margulis
• David Margulis, DMD
• Sarah Margulis

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.