HEIDI HENDERSON (NPI# 1619496965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619496965 |
| Entity Type | Individual |
| Full Name | HEIDI HENDERSON |
| Credential | SWT |
| Practice Address |
680 Park Ave W Mansfield OH 44906 |
| Mailing Address |
680 Park Ave W Mansfield OH 44906-3706 |
| Practice Telephone | 4195285993 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
S.1900945-TRNE | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235791161 | Heidi Henderson | Specialist/Technologist, Other | 10606 Hageman Rd Ste B4, Bakersfield, CA 93312-9109 | 2019-07-01 |
| 1760957237 | Heidi Lynn Henderson | Speech-Language Pathologist | 801 28th Ave N, Clinton, IA 52732-1955 | 2018-10-10 |
| 1003198433 | Heidi B Henderson | Registered Nurse | 1101 Jamison St, Kirksville, MO 63501-3943 | 2011-09-12 |
| 1730363102 | Heidi M Henderson | Counselor | 325 E Pioneer Ave, Puyallup, WA 98372-3265 | 2007-12-20 |
| 1558485938 | Heidi Henderson | Physician Assistant | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2007-03-19 |
| Street Address |
680 PARK AVE W |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366443657 | Gregory C. Heins | Internal Medicine | 680 Park Ave W, Mansfield, OH 44906-3706 | 2005-08-09 |
| 1629680855 | Tina Kaufman | Social Worker | 680 Park Ave W, Mansfield, OH 44906-3706 | 2020-08-19 |
| 1497373864 | Delanys Healthcare | Clinic/Center | 680 Park Ave W, Mansfield, OH 44906-3706 | 2020-07-11 |
| 1508480450 | Alayna Heltz | Counselor | 680 Park Ave W, Mansfield, OH 44906-3706 | 2020-06-05 |
| 1699301861 | Nathan A Robison | Case Manager/Care Coordinator | 680 Park Ave W, Mansfield, OH 44906-3706 | 2020-03-19 |
| 1952937773 | Toni Jo Beauford | Registered Nurse | 680 Park Ave W, Mansfield, OH 44906-3706 | 2020-03-13 |
| 1215561220 | Anthony B Brooks | Case Manager/Care Coordinator | 680 Park Ave W, Mansfield, OH 44906-3706 | 2020-02-28 |
| 1649819012 | Kevin Jamal Muhammad | Counselor | 680 Park Ave W, Mansfield, OH 44906-3706 | 2020-01-02 |
| 1114565827 | Martin Epps Suber Sr. | Counselor | 680 Park Ave W, Mansfield, OH 44906-3706 | 2019-12-12 |
| 1154967388 | David J Morgante IIi | Counselor | 680 Park Ave W, Mansfield, OH 44906-3706 | 2019-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
| 1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
| 1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
| 1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
| 1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
| 1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
| 1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
| Find all providers in zip 44906 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325407 | Worlita L. Williams | Social Worker | 510 Rea St, Mansfield, LA 71052-2142 | 2020-10-27 |
| 1861010233 | Amanda Suzanne Mcmorrow | Social Worker | 79 Cottage St, Mansfield, MA 02048-2301 | 2020-07-11 |
| 1578189908 | Beth Ann Sommers-souder | Social Worker | Richland Correctional Institute, 1001 Olivesburg Road, Mansfield, OH 44905 | 2020-06-22 |
| 1457987398 | Jolene Meisner | Social Worker | 31 S Academy St, Mansfield, PA 16933-1149 | 2020-03-22 |
| 1275194565 | Jeanette Rene Holland | Social Worker | 2804 Matlock Rd, Mansfield, TX 76063-5003 | 2019-06-26 |
| 1750845921 | Darlene Ann Schwartz I | Social Worker | 1 Old Colony Rd Apt 214, Mansfield, MA 02048-2185 | 2019-01-22 |
| 1316415375 | Robbin Volkart | Social Worker | 158 Lawndale Rd, Mansfield, MA 02048-1648 | 2018-11-08 |
| 1942784244 | Mary Rego Perry | Social Worker | 19 North White Pine Lane, Mansfield, MA 02048 | 2018-09-21 |
| 1942652904 | Monica Alley | Social Worker | 59 Mill St, Mansfield, MA 02048-3211 | 2016-07-01 |
| 1376934018 | Denise M Ramirez | Social Worker | 404 E Broad St Ste 600, Mansfield, TX 76063-1743 | 2015-02-17 |
| Find all providers in MANSFIELD | ||||
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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.