Active NPI
Kathryn Cheezem Henderson, LMSW
- Social Worker
- Marion, SC
National Provider Identifier
1700901121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2329
- Practice address
- 1104 Lombardy St
Marion, SC 29571-2005 - Phone
- (843) 431-1100
- Fax
- (843) 431-1103
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2329 | SC | Primary |
Addresses
Primary practice location
1104 Lombardy St
Marion, SC 29571-2005
Mailing address
125 E Cheves St
Florence, SC 29506-2526
Phone (843) 317-4089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376241 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2329 | SC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Columbia, SC
- NPI 1083421994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700901121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E CHEVES ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062526",
"telephone_number": "843-317-4089",
"fax_number": "843-317-4096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 LOMBARDY ST",
"city": "MARION",
"state": "SC",
"postal_code": "295712005",
"telephone_number": "843-431-1100",
"fax_number": "843-431-1103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "KATHRYN",
"middle_name": "CHEEZEM",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "2329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376241",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marion, SC
- Health Care Partners of South Carolina, Inc.
- Health Care Partners of South Carolina, Inc.
- Health Care Partners Pharmacy
- Healthcare Management Group Inc
- Healthcare Management Group, Inc.
- Melissa Lynn Herrington, A-GNP
- Jason Owen Hewett, FNP
- Willie Edward Holmes
- Home Medical Equipment Repair
- Barbara Hopkins
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.