Diane Henderson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C001733 Issued in NC

Practice address

311 Judges Rd
4E
Wilmington, NC 28405-3651

Phone

(910) 791-6767

Fax

(910) 791-6890

NPI assigned

Aug 22, 2005

Last updated

Jan 23, 2020By the provider in NPPES

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

Other identifiers 3

Other names 1

• Frances Diane Holdsworth Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diane Henderson Enterprises Inc

  • Clinical Social Worker
  • Rocky Mountain, NC
  • NPI 1265693808
  Authorized official Same address or phone

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1225020696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 MARVELLE AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278032326",
            "telephone_number": "252-903-9926",
            "fax_number": "252-231-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 JUDGES RD",
            "address_2": "4E",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053651",
            "telephone_number": "910-791-6767",
            "fax_number": "910-791-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "DIANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "40981",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "62-00248",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003386",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCES",
            "last_name": "HOLDSWORTH",
            "middle_name": "DIANE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James Arthur Helm, PA-C
• Julia Nadine Helm, LPTA
• Tracy Ann Helm, PA
• Helping Hands of the Cape Fear
• Thomas Jefferson Hembree, CRNA
• Heather Marie Henderson
• Lauren Henderson, RBT
• Michael Henderson, PH.D., LBA, BCBA-D
• Rachel Hendricks, LCSW
• Jason L Hendrix, OD

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.