MR. JEFFREY SCOTT HENDERSON (NPI# 1821173899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821173899 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY SCOTT HENDERSON |
| Credential | LCSW |
| Practice Address |
1061 Harmon Ave Fort Stewart GA 31314-5641 |
| Practice Telephone | 9124356633 |
| Mailing Telephone | 9124356633 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2014-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2527 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942465026 | Jeffrey Thomas Henderson | Pathology | 1300 N 12th St Ste 300, Phoenix, AZ 85006-2813 | 2008-07-28 |
| 1194860171 | Jeffrey Henderson | Physical Therapist | 107 Pinkerton Dr, Beaver, PA 15009-1213 | 2007-02-20 |
| 1598856049 | Jeffrey A. Henderson | Internal Medicine | 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2006-09-28 |
| 1528026978 | Jeffrey Lynn Henderson | Emergency Medicine | 390 N Main St, Bountiful, UT 84010-6046 | 2006-05-03 |
| 1912988007 | Jeffrey Mark Henderson | Pediatrics | 430 W Bandera Rd Ste 9, Boerne, TX 78006-2521 | 2005-11-07 |
| 1578111258 | Jeffrey Lee Henderson Jr. | Pharmacist | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2019-08-27 |
| 1164994638 | Jeffrey N Henderson | Peer Specialist | 149 W 12th Ave, Eugene, OR 97401-3408 | 2018-12-21 |
| 1326315185 | Jeffrey Coleman Henderson | Case Manager/Care Coordinator | 5050 Madison Rd, Cincinnati, OH 45227-1491 | 2011-11-22 |
| 1235386848 | Jeffrey Harris Henderson | Family Medicine | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2008-08-26 |
| 1649354572 | Jeffrey W Henderson | Internal Medicine | 200 Center Street, Ludlow, MA 01056 | 2006-10-25 |
| Street Address |
1061 HARMON AVE |
| City | FORT STEWART |
| State | GA |
| Zip Code | 31314-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596486 | Donald E Shackleford | Obstetrics & Gynecology | 1061 Harmon Ave, Fort Stewart, GA 31314 | 2005-05-27 |
| 1619575081 | Rudy Noel Torres Negron | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-16 |
| 1629675434 | Darryl B Moore | Counselor | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-05 |
| 1093330268 | Lesheia Tasker | Technician, Other | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-06-12 |
| 1770111270 | Kendal Padgett | Physical Therapist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-30 |
| 1104452218 | Tiffany L Stark | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-20 |
| 1396371035 | Alicia Nichole Hasquin | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-13 |
| 1407481492 | Matthew Douglas Lueders | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1316572308 | Seth Ravid | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1487289526 | Huon Sharpe | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| 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 |
|---|---|---|---|---|
| 1336543867 | Giovanni Aquilla Bass | Social Worker | 1601 Harmon Ave., Fort Stewart, GA 31324 | 2014-10-13 |
| 1730437278 | Melyssa Newman | Social Worker | 1061 Harmon Ave Ste Id03g, Fort Stewart, GA 31314-5641 | 2012-08-15 |
| 1568650257 | Mercedes S. Byrd | Social Worker | 1061 Harmon Ave Ste 2nw43, Fort Stewart, GA 31314 | 2007-10-09 |
| 1174731509 | Jane B Gotshalk | Social Worker | 109 Courage Loop, Fort Stewart, GA 31315-5906 | 2007-05-18 |
| 1285724666 | Kevin Ricks Stevenson | Social Worker | 1061 Harmon Avenue Building 311, Winn Army Community Hospital, Fort Stewart, GA 31314-5674 | 2006-10-13 |
| 1083660955 | Cynthia A. Spells | Social Worker | 1061 Harmon Ave Ste 1003, Fort Stewart, GA 31314-5641 | 2006-05-25 |
| 1013907898 | Ronald James Whalen | Social Worker | Bldg 920, Fort Stewart, GA 31314 | 2005-10-24 |
| 1619575081 | Rudy Noel Torres Negron | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-16 |
| 1275142762 | Sonya Cotton | Social Worker | Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31313 | 2020-07-30 |
| 1164071627 | Deborah Christine Woodard | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2019-09-08 |
| Find all providers in FORT STEWART | ||||
| City | FORT STEWART |
| Zip Code | 31314 |
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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.