Active NPI
Lynn M Henderson, MSW, LISW
- Clinical Social Worker
- Gahanna, OH
National Provider Identifier
1447586367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I 1200270
- Practice address
- 807 Havens Corners Rd
Gahanna, OH 43230-3114 - Phone
- (614) 442-7650
- Fax
- (614) 442-7656
- NPI assigned
- Oct 28, 2009
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I 1200270 | OH | Primary |
Addresses
Primary practice location
807 Havens Corners Rd
Gahanna, OH 43230-3114
Mailing address
1170 Old Henderson Rd
Suite 100
Columbus, OH 43220-3623
Phone (614) 442-7650
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 |
|---|---|---|---|
| I 1200270 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spirit of Peace Clinical Counseling | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1256688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365120000000",
"number": "1447586367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 OLD HENDERSON RD",
"address_2": "SUITE 100",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432203623",
"telephone_number": "614-442-7650",
"fax_number": "614-442-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 HAVENS CORNERS RD",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432303114",
"telephone_number": "614-442-7650",
"fax_number": "614-442-7656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "LYNN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MSW, LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-28",
"last_updated": "2013-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I 1200270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gahanna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.