Latineya Detrice Henderson, LCSW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

39884 Issued in TX

Practice address

5720 Brett LN
Beaumont, TX 77713-9207

Phone

(409) 338-2193

NPI assigned

Jul 5, 2013

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1184064115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 BRETT LN",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777139207",
            "telephone_number": "409-338-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 BRETT LN",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777139207",
            "telephone_number": "409-338-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LATINEYA",
        "middle_name": "DETRICE",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "39884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Heisser
• Helping Hands Community Services
• Helping Hands Home Healthcare
• Dana Henderson, RN,MSN,CFNP
• John Abe Henderson, M.D.
• Stephen Todd Henderson, FNP
• Dorothy H Henges, LPC
• Alex C Henry, MCD, CCC-SLP
• Joann Hensel, M.D
• Crystal Deon Henson, LVN

• Clinical Social Worker in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.