Cristina Elizabeth Henson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012579 Issued in NC

Practice address

17 E Buck Mountain Road
Unit a
West Jefferson, NC 28694-2869

Phone

(336) 479-0924

NPI assigned

Jun 1, 2017

Last updated

Oct 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Cristina Elizabeth Elder Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Charlotte Center for Balanced Living, P.a.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charlotte, NC
  • NPI 1720192107
  NPD (past)

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1861920019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 WILTON AVE",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286948808",
            "telephone_number": "336-489-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E BUCK MOUNTAIN ROAD",
            "address_2": "UNIT A",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286942869",
            "telephone_number": "336-479-0924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Wilton Ave",
            "address_purpose": "LOCATION",
            "city": "West Jefferson",
            "state": "NC",
            "postal_code": "286948808",
            "country_code": "US",
            "telephone_number": "336-489-0924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSON",
        "first_name": "CRISTINA",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTINA",
            "last_name": "ELDER",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Griffith
• Jordain Dollar Hardin, FNP-C
• Karmen Sokolosky Harris, PMHNP-BC
• Thomas Harris
• Courtney Hartzog, LCMHCA
• Heather M. Herman, NP
• High Country House Call
• Lauren Hogan
• Home Town Drug Stores Inc
• Icenhour Therapy. PLLC (Icenhour Therapy)

• Clinical Social Worker in West Jefferson, NC
• Providers in West Jefferson, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.