Individual provider Active NPI

Taylor Ann Henderson-Hood, LICSW, MSW

  • Clinical Social Worker
  • Rancho Cordova, CA
National Provider Identifier
1093225062
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4229 Minotaur Cir
Rancho Cordova, CA 95742-8215
Phone
(916) 467-0713
NPI assigned
Oct 4, 2017
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X SC60846356 WA
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

4229 Minotaur Cir
Rancho Cordova, CA 95742-8215

Mailing address

4229 Minotaur Cir
Rancho Cordova, CA 95742-8215
Phone (916) 467-0713

Other practice location 1

3438 S 148th St
Tukwila, WA 98168-4319
Phone (206) 490-0865

Other practice location 2

1902 2nd Ave
Seattle, WA 98101-1155
Phone (206) 323-6336

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
SC60846356WAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1093225062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 MINOTAUR CIR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957428215",
            "telephone_number": "916-467-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 MINOTAUR CIR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957428215",
            "telephone_number": "916-467-0713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3438 S 148th St",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981684319",
            "country_code": "US",
            "telephone_number": "206-490-0865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1902 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981011155",
            "country_code": "US",
            "telephone_number": "206-323-6336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON-HOOD",
        "first_name": "TAYLOR",
        "middle_name": "ANN",
        "credential": "LICSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "SC60846356",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.