Active NPI
Shaquayla Henderson
- Social Worker
- Aubrey, TX
National Provider Identifier
1306692918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 108113
- Practice address
- 26785 E University Dr # S400
Aubrey, TX 76227-1963 - Phone
- (254) 709-1975
- NPI assigned
- Apr 25, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 108113 | TX | Primary |
Addresses
Primary practice location
26785 E University Dr # S400
Aubrey, TX 76227-1963
Mailing address
1643 Sequoia Dr
Krum, TX 76249-7187
Phone (254) 709-1975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108113 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1306692918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1643 SEQUOIA DR",
"city": "KRUM",
"state": "TX",
"postal_code": "762497187",
"telephone_number": "254-709-1975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26785 E UNIVERSITY DR # S400",
"city": "AUBREY",
"state": "TX",
"postal_code": "762271963",
"telephone_number": "254-709-1975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "SHAQUAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-25",
"last_updated": "2024-04-25",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "108113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aubrey, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.