Active NPI
Helen M Henderson, LCSW
- Clinical Social Worker
- Tucson, AZ
National Provider Identifier
1215972203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 11027
- Practice address
- 1601 N Tucson Blvd
Suite 36
Tucson, AZ 85716-3425 - Phone
- (520) 906-4430
- Fax
- (520) 797-2171
- NPI assigned
- Jun 17, 2006
- 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 | LCSW 11027 | AZ | Primary |
Addresses
Primary practice location
1601 N Tucson Blvd
Suite 36
Tucson, AZ 85716-3425
Mailing address
6540 N Camino Padre Isidoro
Tucson, AZ 85718-2034
Phone (520) 909-4430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2017 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 11027 | AZ | MD | Clinical Social Worker |
| 11027 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Academic & Behavioral Center LLC | Clinical | Past | Accepting new patients |
| Wendy White LCSW | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Tucson, AZ
- NPI 1417029018
-
- Social Worker
- Tucson, AZ
- NPI 1992192439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1215972203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6540 N CAMINO PADRE ISIDORO",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857182034",
"telephone_number": "520-909-4430",
"fax_number": "520-797-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 N TUCSON BLVD",
"address_2": "SUITE 36",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857163425",
"telephone_number": "520-906-4430",
"fax_number": "520-797-2171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "HELEN",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-17",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW 11027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.