Lloyd Francis Henderson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18525 Issued in MN

Practice address

100 Gretchen LN
Crookston, MN 56716-2602

Phone

(218) 281-1507

Fax

(218) 281-2473

NPI assigned

Oct 1, 2012

Last updated

Oct 1, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1720339674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRETCHEN LN",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567162602",
            "telephone_number": "218-281-1507",
            "fax_number": "218-281-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRETCHEN LN",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567162602",
            "telephone_number": "218-281-1507",
            "fax_number": "218-281-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LLOYD",
        "middle_name": "FRANCIS",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Hanson, MOTR/L
• Angelica Lynn Hardy
• Jody Lynn Harger, CNA 400408740904
• Kelsey Susan Helgeson, MSN, APRN, PMHNP-BC
• Tricia Jeanne Hellerud, LICSW
• Glen Dale Herman
• Riley Hermreck, FNP-C
• Jacob Hoefler
• Lisa Hofstad, LPCC
• Wynter Holland

• Clinical Social Worker in Crookston, MN
• Providers in Crookston, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.