Shadoures Henderson, C-SSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

PROV-0667224 Issued in VA

Practice address

1400 Melbourne Rd
Charlottesville, VA 22901-3148

Phone

(434) 245-2410

NPI assigned

Nov 3, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1720957293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 BURGOYNE RD UNIT 4",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MELBOURNE RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229013148",
            "telephone_number": "434-245-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "SHADOURES",
        "credential": "C-SSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "VA",
            "license": "PROV-0667224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andriana Hench, LPC
• Deborah M. Henderson, MD
• Eden Garber Henderson, N.P.
• Melanie Ann Henderson, PT
• Michael Wayne Henderson, O.D.
• Alexander Daffron Hendrick, NP
• Jennifer Hendrick, MD
• Colin Patrick Hendrickson, EMT-P
• Amanda Hendrix
• Andrew Nicholas Hendrix

• School Social Worker in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• School Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.