Diane Henderson Enterprises Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C001733 Issued in NC

Legal business name

DIANE HENDERSON ENTERPRISES INC

Practice address

112 N Circle Drive
Rocky Mountain, NC 27804-2430

Phone

(252) 903-9926

Fax

(252) 977-6114

NPI assigned

Jun 17, 2008

Last updated

Jun 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Diane Valenti Henderson, MSW LCSWNPI 1225020696

Title

MSW LCSW

Phone

(252) 903-9926

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diane Henderson, LCSW

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1225020696
  Authorized official Same address or phone

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1265693808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N CIRCLE DRIVE",
            "city": "ROCKY MOUNTAIN",
            "state": "NC",
            "postal_code": "278042430",
            "telephone_number": "252-903-9926",
            "fax_number": "252-977-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N CIRCLE DRIVE",
            "city": "ROCKY MOUNTAIN",
            "state": "NC",
            "postal_code": "278042430",
            "telephone_number": "252-903-9926",
            "fax_number": "252-977-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE HENDERSON ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "VALENTI",
        "authorized_official_title_or_position": "MSW LCSW",
        "authorized_official_telephone_number": "252-903-9926",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

Verify at the official NPI Registry.