Individual provider Active NPI

Laura S Henderson, MSW CSW

  • Clinical Social Worker
  • Sterling HTS, MI
National Provider Identifier
1235289810
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801068425 Issued in MI
Practice address
43200 Dequindre Rd
Ste 104
Sterling HTS, MI 48314-1707
Phone
(586) 799-4350
NPI assigned
Jan 12, 2007
Last updated
Sep 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801068425 MI Primary

Addresses

Primary practice location

43200 Dequindre Rd
Ste 104
Sterling HTS, MI 48314-1707

Mailing address

147 S Highland St
Mount Clemens, MI 48043-2141
Phone (586) 219-0504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111206000292 MI Practitioner - Clinical Social Worker 4789859562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

43200 Dequindre Rd
Suite 104
Sterling Heights, MI 48314-1707
Phone (586) 799-4350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801068425MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Laura S Henderson LMSW PLLC Clinical CurrentSince Aug 6, 2013 Accepting new patients
Macomb Family Services, Inc Clinical Past Accepting new patients
Macomb Family Services, Inc. Clinical PastSince Jan 1, 1995 Accepting new patients

Locations

43200 Dequindre Rd
Ste 104
Sterling Hts, MI 48314
Phone (586) 799-4350

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/macombfamily/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1235289810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 S HIGHLAND ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432141",
            "telephone_number": "586-219-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43200 DEQUINDRE RD",
            "address_2": "STE 104",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483141707",
            "telephone_number": "586-799-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LAURA",
        "middle_name": "S",
        "credential": "MSW CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801068425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling HTS, MI

Sources for this page

Verify at the official NPI Registry.