Phebee Vun Henderson, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MSW 2290 Issued in GA

Practice address

8201 Hazelbrand Rd NE
Covington, GA 30014-1510

Phone

(770) 787-3977

Fax

(770) 784-3022

NPI assigned

Apr 12, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1114217031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 HAZELBRAND RD NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141510",
            "telephone_number": "770-787-3977",
            "fax_number": "770-784-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 HAZELBRAND RD NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141510",
            "telephone_number": "770-787-3977",
            "fax_number": "770-784-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "PHEBEE",
        "middle_name": "VUN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW 2290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heavenly Arms Assisted Living, LLC
• Heavenly Dental Associates
• Heavenly Helping Hands Homecare LLC
• Kate Alison Heinlein, MD
• Matthew Scott Henderson, LCSW
• Zsakeba Henderson, M.D.
• Aleika Henry
• Juleen Henry, RN
• Her Community Services
• Melisa Hickman

• Clinical Social Worker in Covington, GA
• Providers in Covington, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.