Active NPI
Caroline Henderson, LCSW
- Clinical Social Worker
- Statesboro, GA
National Provider Identifier
1780311357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW008187
- Practice address
- 110 Lakeside CT
Statesboro, GA 30458-9122 - Phone
- (912) 536-6144
- NPI assigned
- Aug 4, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW008187 | GA | Primary |
Addresses
Primary practice location
110 Lakeside CT
Statesboro, GA 30458-9122
Mailing address
110 Lakeside CT
Statesboro, GA 30458-9122
Phone (912) 536-6144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CSW008187 | Other | GA | LCSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW008187 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1780311357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LAKESIDE CT",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304589122",
"telephone_number": "912-536-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LAKESIDE CT",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304589122",
"telephone_number": "912-536-6144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "CAROLINE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW008187",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "CSW008187",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.