Individual provider Active NPI

Martrice Denise Henderson-Aldridge, LCSW

  • Clinical Social Worker
  • Rockford, IL
National Provider Identifier
1871668418
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110607 Issued in TX
Practice address
3019 N Perryville Rd
Rockford, IL 61114-8016
Phone
(815) 975-3330
Fax
(779) 423-1761
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149007872 IL
Clinical Social Worker 1041C0700X 110607 TX Primary

Addresses

Primary practice location

3019 N Perryville Rd
Rockford, IL 61114-8016

Mailing address

2990 N Perryville Rd Unit 4100a
Rockford, IL 61107-6827
Phone (815) 975-3330

Other practice location 1

5876 Turner May Dr
Fort Worth, TX 76126-1544
Phone (815) 975-3330

Other names 1

  • Martrice Aldridge Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111228000742 IL Practitioner - Clinical Social Worker 5294825188 Reassigns benefits to 1 organization
Practice locations: Rockford, IL
I20230629001499 TX Practitioner - Clinical Social Worker 5294825188 Practice locations: Fort Worth, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3019 N Perryville Rd
Rockford, IL 61114-8016
Phone (815) 975-3330

3031 N Perryville Rd
Rockford, IL 61114-8016
Phone (815) 975-3330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Glenwood Center LTD PastSince Apr 5, 2018 Accepting new patients

Organizations & group practices 2

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1871668418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 N PERRYVILLE RD UNIT 4100A",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076827",
            "telephone_number": "815-975-3330",
            "fax_number": "779-423-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 N PERRYVILLE RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148016",
            "telephone_number": "815-975-3330",
            "fax_number": "779-423-1761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5876 Turner May Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761261544",
            "country_code": "US",
            "telephone_number": "815-975-3330",
            "fax_number": "779-423-1761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON-ALDRIDGE",
        "first_name": "MARTRICE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149007872",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "110607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTRICE",
            "last_name": "ALDRIDGE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.