Christine Durbin Henderson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1700550 Issued in OH

Practice address

1941 Sagamore Dr
Euclid, OH 44117-2314

Phone

(216) 486-2999

Fax

(216) 486-3951

NPI assigned

Sep 6, 2017

Sex

Female

Sole proprietor

Yes

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

Interoperability endpoints

• Direct secure messaging: christine.henderson.1@29511.direct.athenahealth.com

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1730607177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25701 N LAKELAND BLVD STE 403",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441322453",
            "telephone_number": "440-865-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 SAGAMORE DR",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441172314",
            "telephone_number": "216-486-2999",
            "fax_number": "216-486-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "CHRISTINE",
        "middle_name": "DURBIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heart to Heart Adult Day Center
• Lawrence Heller, LSW
• Help Foundation, Inc.
• Helping to Thrive HHA Agency
• Lisa Ann Helt
• Tamika Henderson
• Henry Johnson Center
• Patricia Deleon Henry, BCMHC
• Robert Dee Henson I
• Heritage of Euclid LLC

• Clinical Social Worker in Euclid, OH
• Providers in Euclid, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.