Lawrence Levi Henderson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1195413 Issued in TN

Practice address

417 Harding Dr
Suite D
Lebanon, TN 37087-4079

Phone

(615) 753-0743

NPI assigned

Oct 24, 2008

Last updated

Jan 19, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Mr. Larry Ernest Henderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifecare Family Services

  • Community/Behavioral Health Agency
  • Pulaski, TN
  • NPI 1245484005
  NPD (past)
• Omni Community Health

  • Social Worker
  • Nashville, TN
  • NPI 1437125416
  NPD (past)

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1669625497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 330716",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37203",
            "telephone_number": "615-753-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 HARDING DR",
            "address_2": "SUITE D",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370874079",
            "telephone_number": "615-753-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LAWRENCE",
        "middle_name": "LEVI",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-24",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "1490131167",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "613205",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "1195413",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149013167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARRY",
            "last_name": "HENDERSON",
            "middle_name": "ERNEST",
            "prefix": "MR.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Healthfield of Tennessee, LLC (CenterWell Home Health)
• Healthy Bones Chiropractic, PC (Healthy Bones Chiropractic)
• Kelley Gale Heilman
• Christin Nicole Henderson, RBT
• Kathlyn Hill Henderson, PT, CWS
• Magan Goff Henderson, RN, APN
• Hendrick Counseling Services, Inc
• Kimberley Stroud Hendrick, L.C.S.W.
• Fady Adel Henen
• John Lynwood Herrington, CRNA

• Clinical Social Worker in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.