Organization Active NPI

Pamela Peros-Henderson

  • Clinical Social Worker
  • Savannah, GA
National Provider Identifier
1194431734
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PAMELA PEROS-HENDERSON
Practice address
6605 Abercorn St Ste 11F
Savannah, GA 31405-5815
Phone
(808) 222-7292
NPI assigned
Jan 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Pamela Peros-Henderson, LCSW
Title
Owner/LCSW
Phone
(808) 222-7292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6605 Abercorn St Ste 11F
Savannah, GA 31405-5815

Mailing address

6605 Abercorn St Ste 11F
Savannah, GA 31405-5815
Phone (808) 222-7292

Other identifiers 1

IdentifierTypeStateIssuer
CSW005822OtherGALCSW

National Provider Directory

National Provider Directory

Locations

6605 Abercorn St
Ste 11F
Savannah, GA 31405
Phone (808) 222-7292

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1194431734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 ABERCORN ST STE 11F",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055815",
            "telephone_number": "808-222-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 ABERCORN ST STE 11F",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055815",
            "telephone_number": "808-222-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA PEROS-HENDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "PEROS-HENDERSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "808-222-7292",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "CSW005822",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.