MARY K HENDERSON (NPI# 1548616535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548616535 |
| Entity Type | Individual |
| Full Name | MARY K HENDERSON |
| Credential | LSW |
| Practice Address |
4400 Euclid Ave Cleveland OH 44103-3734 |
| Mailing Address |
4500 Euclid Ave Cleveland OH 44103-3736 |
| Practice Telephone | 2164327200 |
| Practice Fax Number | 2164327253 |
| Mailing Telephone | 2164327200 |
| Mailing Fax Number | 2164327253 |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | S 0027703 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | STATE LICENSE | S 0027703 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699326843 | Mary Ann Henderson | Technician | 339 Mason Blvd, Jackson, MS 39212-5151 | 2019-09-27 |
| 1801379599 | Mary Pullias Henderson | Nurse Practitioner | 2788 Murfreesboro Road, Antioch, TN 37013-2004 | 2018-09-10 |
| 1063935773 | Mary Kathryn Henderson | Speech-Language Pathologist | 1400 Griffin Mill Road, Easley, SC 29640 | 2017-07-25 |
| 1467832485 | Mary Ellen Henderson | Registered Nurse | 1038 Davis Rd, West Falls, NY 14170-9781 | 2015-06-04 |
| 1003305798 | Mary Henderson | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2018-05-08 |
| 1225547508 | Mary Kathleen Henderson | Counselor | 393 Main St, Danville, NH 03819-3219 | 2017-09-29 |
| 1285181776 | Mary May Henderson | Nurse Practitioner | 10701 W Research Dr, Wauwatosa, WI 53226-3452 | 2016-09-01 |
| 1538517149 | Mary Henderson | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2016-05-25 |
| 1013391762 | Mary Henderson | Nurse Practitioner | 447 Mcalister Rd, Ste 2400, Lincolnton, NC 28092-4114 | 2015-07-13 |
| 1245578202 | Mary Nicole Henderson | Dietitian, Registered | 747 52nd St, Oakland, CA 94609-1809 | 2013-01-26 |
| Street Address |
4400 EUCLID AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44103-3734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194948893 | James M Lionetti | Pharmacist | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2007-04-11 |
| 1609409291 | Brenden Stinson | Social Worker | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2020-02-21 |
| 1619508256 | Chamekia Rena Edwards | Behavior Technician | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2020-02-02 |
| 1235771965 | Phyllis Gossett | Community/Behavioral Health | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-10-15 |
| 1528600251 | Michelle Starling | Community/Behavioral Health | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-10-15 |
| 1417503020 | Britney Laux | Community/Behavioral Health | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-08-11 |
| 1235785841 | Kierra Mcdade | Social Worker | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-08-11 |
| 1083268718 | Brian Spence | Nurse Practitioner | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-07-31 |
| 1922650340 | Ladamoneek Broadus | Behavior Technician | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-07-16 |
| 1407408909 | Margaret Whitmore | Behavior Technician | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619921 | Cleveland Urgent Care LLC | Clinic/Center | 1956 E 79th Street, Cleveland, OH 44103 | 2019-09-26 |
| 1598325201 | Eliza Bryant Village | Day Training, Developmentally Disabled Services | 7201 Wade Park Ave., Cleaveland, OH 44103 | 2019-06-14 |
| 1700357829 | Lovel Henderson Jr | Clinic/Center | 6600 Lexington Ave, Cleveland, OH 44103 | 2018-12-16 |
| 1508340472 | Melody J Williams | Adult Companion | 7820 Euclid Ave, Cleveland, OH 44103 | 2018-09-18 |
| 1083108906 | University Hospitals Cleveland Medical Center | Pharmacy | 5805 Euclid Ave, Cleveland, OH 44103 | 2018-06-15 |
| 1336637453 | Heather Tully | Registered Nurse | 6700 Euclid Ave, Cleveland, OH 44103 | 2018-04-24 |
| 1033611355 | Circle Health Services | Clinic/Center | 4400 Euclid Avenue, Cleveland, OH 44103 | 2018-03-02 |
| 1922524032 | Carolyn Nicholas | Counselor | 1834 E 55th Street, Cleveland, OH 44103 | 2017-08-21 |
| 1619493764 | Horizon Educational Services Inc | Local Education Agency (LEA) | 6000 South Marginal, Cleveland, OH 44103 | 2017-08-21 |
| 1548783426 | Albert Pride Jr. | Counselor | 1804 East 55th Street, Cleveland, OH 44103 | 2017-07-21 |
| Find all providers in zip 44103 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766027 | Taylor Gallagher | Social Worker | 4310 E 71st St, Cleveland, OH 44105-5759 | 2020-10-07 |
| 1346853371 | Zora Raglow-defranco | Social Worker | 11075 East Blvd, Cleveland, OH 44106-5409 | 2020-08-28 |
| 1740892108 | Eva Robinson-schley | Social Worker | 4118 E 154th St, Cleveland, OH 44128-1932 | 2020-08-18 |
| 1215546734 | Whitney Lyn Powell | Social Worker | 5500 S Marginal Rd Ste 110, Cleveland, OH 44103-1072 | 2020-07-30 |
| 1043838741 | Trina Branham | Social Worker | 1055 Old River Rd Apt 641, Cleveland, OH 44113-5813 | 2020-07-09 |
| 1497386551 | Kanesha Boyd | Social Worker | 15806 Biltmore Ave, Cleveland, OH 44128-1340 | 2020-01-28 |
| 1922647908 | Jocelyn Boyd | Social Worker | 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 | 2019-12-23 |
| 1154969301 | Yvonne Key | Social Worker | 503 E 124th St, Cleveland, OH 44108-1808 | 2019-12-18 |
| 1225675838 | Mporess LLC | Social Worker | 1282 E 167th St, Cleveland, OH 44110-1556 | 2019-12-02 |
| 1649743139 | Chelsea Simon | Social Worker | 3960 W 23rd St, Cleveland, OH 44109-2908 | 2019-01-07 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.