Organization Active NPI

Sherry Henderson MSW LLC

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1497148522
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00005275 Issued in WA
Legal business name
SHERRY HENDERSON MSW LLC
Practice address
911 Western Ave
399
Seattle, WA 98104-3605
Phone
(206) 652-1278
Fax
(206) 621-7127
NPI assigned
Mar 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Sherry Marie Henderson, MSWNPI 1679597769
Title
President
Phone
(206) 652-1278

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LW00005275 WA Primary

Addresses

Primary practice location

911 Western Ave
399
Seattle, WA 98104-3605

Mailing address

911 Western Ave
399
Seattle, WA 98104-3605
Phone (206) 652-1278

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150411000050 WA Part B Supplier - Clinic/Group Practice 7810215449 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

1000 2nd Ave
Ste 3950
Seattle, WA 98104
Phone (206) 369-1368

911 Western Ave
Ste 399
Seattle, WA 98104
Phone (206) 652-1278

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1497148522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 WESTERN AVE",
            "address_2": "399",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043605",
            "telephone_number": "206-652-1278",
            "fax_number": "206-621-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 WESTERN AVE",
            "address_2": "399",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043605",
            "telephone_number": "206-652-1278",
            "fax_number": "206-621-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY HENDERSON MSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-652-1278",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.