Individual provider Active NPI

Sherry Marie Henderson, MSW

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1679597769
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00005275 Issued in WA
Practice address
911 Western Ave Ste 399
Seattle, WA 98104-1068
Phone
(206) 652-1278
Fax
(206) 621-7127
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW00005275 WA Primary

Addresses

Primary practice location

911 Western Ave Ste 399
Seattle, WA 98104-1068

Mailing address

911 Western Ave Ste 399
Seattle, WA 98104-1068
Phone (206) 652-1278

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20090615000577 WA Practitioner - Clinical Social Worker 8729138680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3618 NE 82ND St
Seattle, WA 98115-4845
Phone (206) 601-2690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW00005275WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sherry Henderson MSW LLC Clinical CurrentSince Jan 7, 2015 Accepting new patients
Stacey McFarland Licsw PLLC PastSince Sep 13, 2020 Accepting new patients

Locations

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

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679597769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 WESTERN AVE STE 399",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041068",
            "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 STE 399",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041068",
            "telephone_number": "206-652-1278",
            "fax_number": "206-621-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "SHERRY",
        "middle_name": "MARIE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.