Organization Active NPI

Donna Henderson, LCSW

  • Clinical Social Worker
  • Maupin, OR
National Provider Identifier
1851678296
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0995 Issued in OR
Legal business name
DONNA HENDERSON, LCSW
Practice address
615 Timber LN
Maupin, OR 97037-7148
Phone
(503) 838-6144
Fax
(866) 490-5249
NPI assigned
Nov 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Mrs. Donna Henderson, LCSWNPI 1821154873
Title
Owner
Phone
(503) 838-6144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0995 OR Primary

Addresses

Primary practice location

615 Timber LN
Maupin, OR 97037-7148

Mailing address

PO Box 372
Maupin, OR 97037-0372
Phone (503) 838-6144

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1851678296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "MAUPIN",
            "state": "OR",
            "postal_code": "970370372",
            "telephone_number": "503-838-6144",
            "fax_number": "866-490-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 TIMBER LN",
            "city": "MAUPIN",
            "state": "OR",
            "postal_code": "970377148",
            "telephone_number": "503-838-6144",
            "fax_number": "866-490-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA HENDERSON, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-838-6144",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "0995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maupin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.