Darryl Henderson, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4556-C Issued in NV

Practice address

5710 Simmons St Ste 102
N Las Vegas, NV 89031-7281

Phone

(702) 823-3085

Fax

(702) 823-3017

NPI assigned

Dec 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• A.C.T. Counseling Center

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1154607729
  NPD (past) Authorized official
• Act Counseling Center & Henderson, Prof. LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1467901363
  NPD (past) Authorized official

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1497938211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5728 EMERALD VIEW ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891301562",
            "telephone_number": "702-823-3085",
            "fax_number": "702-823-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 SIMMONS ST STE 102",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890317281",
            "telephone_number": "702-823-3085",
            "fax_number": "702-823-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "DARRYL",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-14",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "4556-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthcare Partners Medical Group (Coats), LTD.
• Tami D. Heard
• Heart 2 Heart NP Care LLC
• Help of Southern Nevada
• Briana Henderson
• Nicholas Hendrix
• Taffani Hendrix
• Amy Heninger
• Here to Help 2 LLC
• Catalina Hernandez

• Clinical Social Worker in N Las Vegas, NV
• Providers in N Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.