Individual provider Active NPI

Christina Henderson-Bassett, LCSW, LMSW

  • Clinical Social Worker
  • Salem, OR
National Provider Identifier
1104355288
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L10362 Issued in OR
Practice address
388 State St Ste 340
Salem, OR 97301-3536
Phone
(971) 446-1306
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801119400 MI
Clinical Social Worker 1041C0700X L10362 OR Primary

Addresses

Primary practice location

388 State St Ste 340
Salem, OR 97301-3536

Mailing address

388 State St Ste 340
Salem, OR 97301-3536
Phone (971) 446-1306

Other practice location 1

4136 Legacy Pkwy
Lansing, MI 48911-4265
Phone (844) 961-4269

Other identifiers 1

IdentifierTypeStateIssuer
500729525MedicaidOR

Other names 1

  • Ms. Christina Henderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210727003608 OR Practitioner - Clinical Social Worker 8426451535 Reassigns benefits to 1 organization
I20250401000671 MI Practitioner - Clinical Social Worker 8426451535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem Psychiatric Associates PCGroup PAC ID 6002702420, 24 clinicians

Practice addresses (Care Compare)

821 Saginaw St S
Salem, OR 97302-4121
Phone (503) 362-1999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L10362ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC Mental Health CurrentSince Apr 20, 2025 Accepting new patients
Metamorphosis Counseling and Consultation, LLC Clinical CurrentSince Mar 1, 2021 Accepting new patients
Downriver Mental Health Clinic PC Clinical CurrentSince Apr 20, 2025 Accepting new patients
Lifeworks NW Mental Health Past Accepting new patients
Addiction Counseling and Education Services Inc. Addiction (Substance Use Disorder) PastSince Mar 1, 2023 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

4136 Legacy Pkwy
Lansing, MI 48911
Phone (517) 492-0517

388 State St
Ste 340
Salem, OR 97301
Phone (971) 446-1306

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1104355288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 STATE ST STE 340",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013536",
            "telephone_number": "971-446-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 STATE ST STE 340",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013536",
            "telephone_number": "971-446-1306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4136 Legacy Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489114265",
            "country_code": "US",
            "telephone_number": "844-961-4269",
            "fax_number": "517-882-3633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON-BASSETT",
        "first_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500729525",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "HENDERSON",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.