Individual provider Active NPI

Tiffany Marie Henderson, MSW, LGSW

  • Social Worker
  • Wheeling, WV
National Provider Identifier
1437509577
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
BP00945014 Issued in WV
Practice address
1100 Main St Ste 104
Wheeling, WV 26003-2737
Phone
(304) 460-5123
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Social Worker 104100000X BP00945014 WV Primary

Addresses

Primary practice location

1100 Main St Ste 104
Wheeling, WV 26003-2737

Mailing address

111 Park View LN Ste 204
Wheeling, WV 26003-5406
Phone (304) 243-1865

Other practice location 1

111 Park View Ln Ste 204
Wheeling, WV 26003-5406
Phone (304) 243-1865 ext. 2390

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

LicenseStateTypeSpecialty
BP00945014WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
GR&W, Inc CurrentSince Mar 30, 2025 Accepting new patients
GR&W, Inc PastSince Mar 30, 2025 Accepting new patients

Locations

1100 Main St
Ste 104
Wheeling, WV 26003
Phone (304) 443-1414

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1437509577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PARK VIEW LN STE 204",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035406",
            "telephone_number": "304-243-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MAIN ST STE 104",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260032737",
            "telephone_number": "304-460-5123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Park View Ln Ste 204",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "WV",
            "postal_code": "260035406",
            "country_code": "US",
            "telephone_number": "304-243-1865 x2390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "credential": "MSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00945014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; 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.