Camilla C. Hendren, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010010 Issued in VA

Practice address

10432 Balls Ford Rd Ste 300
Manassas, VA 20109-2517

Phone

(816) 769-4486

Fax

(816) 817-3985

NPI assigned

Sep 10, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Camille C. Hendren Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2018 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Camilla Hendren PLLC

  • Clinical Social Worker
  • Kansas City, MO
  • NPI 1235946799
  NPD Authorized official

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1891028783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10432 BALLS FORD RD STE 300",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092517",
            "telephone_number": "816-769-4486",
            "fax_number": "816-817-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10432 BALLS FORD RD STE 300",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092517",
            "telephone_number": "816-769-4486",
            "fax_number": "816-817-3985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Main St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082408",
            "country_code": "US",
            "telephone_number": "816-769-4486",
            "fax_number": "816-817-3985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDREN",
        "first_name": "CAMILLA",
        "middle_name": "C.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2009016896",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50081437",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "HENDREN",
            "middle_name": "C.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tessa Heinz, PA-C
• H. Keith Hellems Jr., M.D.
• Adevia Elvira Hellen, LPC
• Julie Ann Hembree
• Ashley Henderson
• Ethel M Henry, PA
• Madison Katelyn Henry
• Kenneth I Henson, MD
• Taylor Ann Herbert, AU.D.
• Sara Elise Herbst, APRN

• Clinical Social Worker in Manassas, VA
• Providers in Manassas, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.