Individual provider Active NPI

Arshonye Henderson, LCSW

  • Clinical Social Worker
  • Peachtree Corners, GA
National Provider Identifier
1730655655
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW009678 Issued in GA
Practice address
5051 Peachtree Corners Cir Ste 200
Peachtree Corners, GA 30092-2748
Phone
(678) 667-6999
NPI assigned
Oct 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW009678 GA Primary

Addresses

Primary practice location

5051 Peachtree Corners Cir Ste 200
Peachtree Corners, GA 30092-2748

Mailing address

3450 Breckinridge Blvd Apt 1112
Duluth, GA 30096-7652
Phone (469) 733-7045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250815002213 GA Practitioner - Clinical Social Worker 7810496072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Georgia LLCGroup PAC ID 4183079577, 14 clinicians

Practice addresses (Care Compare)

811 Kennesaw Ave NW
Marietta, GA 30060-1002
Phone (770) 422-2451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW009678GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Georgia LLC Clinical CurrentSince Aug 1, 2025 Accepting new patients

Locations

2722 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-0626

811 Kennesaw Ave NW
Marietta, GA 30060
Phone (770) 422-2451

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

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.

NPI Registry JSON

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1730655655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 BRECKINRIDGE BLVD APT 1112",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300967652",
            "telephone_number": "469-733-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 PEACHTREE CORNERS CIR STE 200",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922748",
            "telephone_number": "678-667-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ARSHONYE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW009678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

Verify at the official NPI Registry.