Individual provider Active NPI

Lamar B Henderson, MSW, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1831421874
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50078318 Issued in DC
Practice address
1200 G St NW
Suite 800
Washington, DC 20005-3814
Phone
(202) 434-8700
NPI assigned
Feb 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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 LC50078318 DC Primary

Addresses

Primary practice location

1200 G St NW
Suite 800
Washington, DC 20005-3814

Mailing address

PO Box 75422
National Capital Station
Washington, DC 20013-0422

Other identifiers 1

IdentifierTypeStateIssuer
LC50078318OtherDCHEALTH PROFESSIONAL LICENSING ADMINISTRATION BOARD OF SOCIAL WORK

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

LicenseStateTypeSpecialty
LC50078318DCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1831421874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75422",
            "address_2": "NATIONAL CAPITAL STATION",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200130422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 G ST NW",
            "address_2": "SUITE 800",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053814",
            "telephone_number": "202-434-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LAMAR",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PROFESSIONAL LICENSING ADMINISTRATION BOARD OF SOCIAL WORK",
            "identifier": "LC50078318",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.