Rachel A Henderson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00942773 Issued in WV

Practice address

511 Morris St
Charleston, WV 25301-1326

Phone

(304) 525-7851

Fax

(304) 525-1073

NPI assigned

Dec 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rachel A Rockwell Former name

Medicare fee-for-service enrollment

Enrolled in WV

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

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.

• Prestera Center for Mental Health Services Inc

  • Community/Behavioral Health Agency
  • Barboursville, WV
  • NPI 1356336903
  Medicare reassignment NPD
• Prestera Center for Mental Health Services Inc

  • Primary Care Clinic/Center
  • Huntington, WV
  • NPI 1992394860
  NPD
• Prestera Center for Mental Health Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntington, WV
  • NPI 1740443530
  NPD (past)

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1699312546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CRACKER BARREL DR STE 100",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MORRIS ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011326",
            "telephone_number": "304-525-7851",
            "fax_number": "304-525-1073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5600 US Route 60",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257052146",
            "country_code": "US",
            "telephone_number": "045-257-8513",
            "fax_number": "304-525-1073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "313 MacCorkle Ave SW",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253031205",
            "country_code": "US",
            "telephone_number": "304-525-7851",
            "fax_number": "304-525-1073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "RACHEL",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00942773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "ROCKWELL",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chanya Henderson
• Ciahna Henderson
• Donna Henderson
• James Martin Henderson, M.D./DDS
• Justin Henderson
• Crystal Hendricks
• Diane Briers Hendricks, MSW
• Carson Henley, DDS
• Dana Henley
• Julia Henley

• Clinical Social Worker in Charleston, WV
• Providers in Charleston, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.