Active NPI
Kimberly Henderson, LCSW
- Clinical Social Worker
- Trenton, FL
National Provider Identifier
1831995620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW24034
- Practice address
- 911 S Main St
Trenton, FL 32693-3239 - Phone
- (352) 463-2374
- Fax
- (352) 463-2726
- NPI assigned
- Feb 21, 2025
- Last updated
- Jul 9, 2026
- 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 | SW24034 | FL | Primary |
Addresses
Primary practice location
911 S Main St
Trenton, FL 32693-3239
Mailing address
23476 NW 186TH Ave
High Springs, FL 32643-0673
Phone (386) 454-0698
Other practice location 1
7950 NE 35th Ave
High Springs, FL 32643-5912
Phone (352) 316-7078
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW24034 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Florida Arts & Counseling, Inc | Clinical | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1831995620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23476 NW 186TH AVE",
"city": "HIGH SPRINGS",
"state": "FL",
"postal_code": "326430673",
"telephone_number": "386-454-0698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 S MAIN ST",
"city": "TRENTON",
"state": "FL",
"postal_code": "326933239",
"telephone_number": "352-463-2374",
"fax_number": "352-463-2726"
}
],
"practiceLocations": [
{
"address_1": "7950 NE 35th Ave",
"address_purpose": "LOCATION",
"city": "High Springs",
"state": "FL",
"postal_code": "326435912",
"country_code": "US",
"telephone_number": "352-316-7078",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDERSON",
"first_name": "KIMBERLY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-21",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW24034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, FL
- Maria Anne Harmon, ARNP
- Jamie Lynn Hatfield, LCSW
- Health Facilities Inc
- Health Facilities Inc. (Tri County Nursing Home)
- Healthcare Facilities LLC
- Henrique F. Silva DDS PLLC (Trenton Dental)
- Kimberly Carpenter Herring, M.S.W., L.C.S.W.
- Savannah Hickman, PA-C
- Home Respiratory Solutions, Inc. (Home Respiratory Solutions)
- Hometown Healthcare and Pediatrics LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.