Susan T Henderson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS9451 Issued in CA

Legal business name

SUSAN T HENDERSON

Practice address

1448 15TH St Ste 203
Santa Monica, CA 90404-2756

Phone

(310) 451-2107

Fax

(310) 451-9665

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Trimble Henderson, LCSWNPI 1740465699

Title

Owner Self Employed

Phone

(310) 451-2107

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Susan T Henderson, CSW

  • Clinical Social Worker
  • Santa Monica, CA
  • NPI 1740465699
  NPD (past) Authorized official
• Donna Lee Heider, MFT, ATR

  • Mental Health Counselor
  • Santa Monica, CA
  • NPI 1437173879
  NPD (past)
• James Peck, PSY.D.

  • Psychologist
  • Santa Monica, CA
  • NPI 1467568170
  NPD (past)
• William L Wallace, PHD

  • Psychologist
  • Santa Monica, CA
  • NPI 1366597635
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1548324304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 15TH ST STE 203",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042756",
            "telephone_number": "310-451-2107",
            "fax_number": "310-451-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 15TH ST STE 203",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042756",
            "telephone_number": "310-451-2107",
            "fax_number": "310-451-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN T HENDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "TRIMBLE",
        "authorized_official_title_or_position": "OWNER SELF EMPLOYED",
        "authorized_official_telephone_number": "310-451-2107",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS9451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kim Sunu, MD
• Denise K Sur
• Ashley Suraweera, MD
• Surgical Associates of Santa Monica a Medical Group
• Surgiluxe Inc
• Irawan Susanto, MD
• Thomas Michael Susko, M.D.
• Valerie Goldfine Susman
• Rachel Rose Mercado Suson, PT, DPT
• Shereen Sutphen

• Clinical Social Worker in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.