Active NPI
Janelle Henderson, LMSW
- Social Worker
- Oak Park, MI
National Provider Identifier
1720355944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801088041
- Practice address
- 24260 Blackstone St
Oak Park, MI 48237-1653 - Phone
- (734) 883-5286
- NPI assigned
- Nov 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 6801088041 | MI | |
| Social Worker | 104100000X | 6801088041 | MI | Primary |
| Clinical Social Worker | 1041C0700X | 6801088041 | MI |
Addresses
Primary practice location
24260 Blackstone St
Oak Park, MI 48237-1653
Mailing address
10400 Stoepel Street
Detroit, MI 48204
Phone (313) 744-2040
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 |
|---|---|---|---|
| 6801088041 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501545600000",
"number": "1720355944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10400 STOEPEL STREET",
"city": "DETROIT",
"state": "MI",
"postal_code": "48204",
"telephone_number": "313-744-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24260 BLACKSTONE ST",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482371653",
"telephone_number": "734-883-5286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "JANELLE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-17",
"last_updated": "2017-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "MI",
"license": "6801088041",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801088041",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801088041",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, MI
- Healing Crown Medical Hair Replacement
- Healing Hands Home Care and Hospice LLC
- Health Systems Inc
- Hemorrhoid Clinics of America
- Henderson Home Health Care LLC
- Margaret Jane Hepke, D.O.
- Herbert Isaac Clinic PLLC
- Alaa K Hermiz, GENERAL DENTIST
- Ross Bradley Herner
- Elise Nicole Hibbard, MSN APRN PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.