Active NPI
Annette Marie Henderson, LMSW
- Clinical Social Worker
- Lansing, MI
National Provider Identifier
1184815045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801079498
- Practice address
- 809 Center St
Suite 4
Lansing, MI 48906-5258 - Phone
- (517) 367-2489
- NPI assigned
- Aug 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801079498 | MI | Primary |
Addresses
Primary practice location
809 Center St
Suite 4
Lansing, MI 48906-5258
Mailing address
809 Center St
Suite 4
Lansing, MI 48906-5258
Phone (517) 367-2489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8008980640 | Other | MI | BCBS-TRADITIONAL |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1184815045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 CENTER ST",
"address_2": "SUITE 4",
"city": "LANSING",
"state": "MI",
"postal_code": "489065258",
"telephone_number": "517-367-2489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 CENTER ST",
"address_2": "SUITE 4",
"city": "LANSING",
"state": "MI",
"postal_code": "489065258",
"telephone_number": "517-367-2489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "ANNETTE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-06",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801079498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-TRADITIONAL",
"identifier": "8008980640",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.