Organization Active NPI

Misty Cox Henderson, LCSW, LLC

  • Clinical Social Worker
  • Christiansburg, VA
National Provider Identifier
1295358638
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MISTY COX HENDERSON, LCSW, LLC
Practice address
602 Radford St
Christiansburg, VA 24073-3303
Phone
(540) 230-8589
NPI assigned
May 20, 2020
Last updated
May 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Misty Cox HendersonNPI 1225659113
Title
LCSW, LLC
Phone
(540) 230-8589

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

602 Radford St
Christiansburg, VA 24073-3303

Mailing address

1010 Custis St
Radford, VA 24141-2718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200817003386 VA Part B Supplier - Clinic/Group Practice 0042636300 Receives reassigned benefits from 1 practitioner
Practice locations: Fairlawn, VA

National Provider Directory

National Provider Directory

Locations

602 Radford St
Christiansburg, VA 24073
Phone (540) 230-8589

6580 Valley Center Dr
Ste 321
Radford, VA 24141
Phone (546) 230-8589

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1295358638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CUSTIS ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241412718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 RADFORD ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240733303",
            "telephone_number": "540-230-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISTY COX HENDERSON, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "COX HENDERSON",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "LCSW, LLC",
        "authorized_official_telephone_number": "540-230-8589"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.