Cheryl Madonna Henderson

Primary specialty

Social WorkerTaxonomy code 104100000X

License

R052654-1 Issued in NY

Practice address

3909 214TH PL
Bayside, NY 11361-2123

Phone

(718) 229-5757

Fax

(717) 939-0881

NPI assigned

Oct 4, 2023

Sex

Female

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Shield of David, Inc.

  • Clinic/Center
  • Bayside, NY
  • NPI 1184661290

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1518747864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 214TH PL",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612123",
            "telephone_number": "718-229-5757",
            "fax_number": "717-939-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 214TH PL",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612123",
            "telephone_number": "718-229-5757",
            "fax_number": "717-939-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "CHERYL",
        "middle_name": "MADONNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R052654-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Arts Physical Therapy and Rehabilitation, P.C.
• Healthy Pin Acupuncture PC
• Hearing Help Assoc., LLC
• Heart and Lung Associates, PC
• Hellenic Eye Care Optometry Consulting PLLC
• Deon Henlon
• Jiyoung Heo
• Ana Lydia Hernandez-Vila, SERVICE COORDINATOR
• Ashley Hernandez
• Norma Hernandez, LCSW

• Social Worker in Bayside, NY
• Providers in Bayside, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.