Heather Ann Henderson (NPI# 1023213121, PAC ID# 4385902345) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1023213121 |
| PAC ID by PECOS | 4385902345 |
| Professional Enrollment ID | I20180116002899 |
| Full Name | Heather Ann Henderson |
| Organization Legal Name | GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC. |
| Address |
606 1st Ave Providence KY 42450-1735 |
| Phone Number | 2706677092 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 4082522396 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 233 N Townsend, Morganfield, KY 42437-1436 | 2703893240 | GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC. |
| 606 1st Ave, Providence, KY 42450-1735 | 2706677092 | GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC. |
| Organization Legal Name | GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC. |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gloria Johnson Royster | Clinical Social Worker | Green River Regional Mental Health/mental Retardation Board, Inc. | 233 N Townsend, Morganfield, KY 42437-1436 |
| Lori A Buckby-reddish | Clinical Social Worker | Green River Regional Mental Health/mental Retardation Board, Inc. | 314 S Ewing Rd, Owensboro, KY 42301-0353 |
| David M Whittaker | Nurse Practitioner | Green River Regional Mental Health/mental Retardation Board, Inc. | 1100 Walnut St, Owensboro, KY 42301-2956 |
| Ashley Vanover | Clinical Social Worker | Green River Regional Mental Health/mental Retardation Board, Inc. | 1100 Walnut St, Owensboro, KY 42301-2956 |
| Erik M Rotterman | Psychiatry | Green River Regional Mental Health/mental Retardation Board, Inc. | 1100 Walnut St, Owensboro, KY 42301-2956 |
| Audrey L Cavins-ezell | Nurse Practitioner | Green River Regional Mental Health/mental Retardation Board, Inc. | 1100 Walnut St, Owensboro, KY 42301-2956 |
| Amanda Lee Greenwell | Clinical Social Worker | Green River Regional Mental Health/mental Retardation Board, Inc. | 1100 Walnut St, Owensboro, KY 42301-2956 |
| Joan Evelyn Thomason | Clinical Social Worker | Green River Regional Mental Health/mental Retardation Board, Inc. | 1100 Walnut St, Owensboro, KY 42301-2956 |
| Patricia Watkins | Clinical Social Worker | Green River Regional Mental Health/mental Retardation Board, Inc. | 1100 Walnut St, Owensboro, KY 42301-2956 |
| Shiraz H Qalbani | Psychiatry | Green River Regional Mental Health/mental Retardation Board, Inc. | 1100 Walnut St, Owensboro, KY 42301-2956 |
| Street Address |
606 1ST AVE |
| City | PROVIDENCE |
| State | KY |
| Zip | 42450-1735 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney S Lloyd | Clinical Social Worker | Regional Health Care Affiliates, Inc | 215 E Main St, Providence, KY 42450-1261 |
| Lori R Marrero | Nurse Practitioner | Regional Health Care Affiliates, Inc | 215 E Main St, Providence, KY 42450-1261 |
| Kassy Rickard | Nurse Practitioner | Regional Health Care Affiliates, Inc | 215 E Main St, Providence, KY 42450-1261 |
| Sue Lindsey | Clinical Social Worker | Regional Health Care Affiliates, Inc | 215 E Main St, Providence, KY 42450-1261 |
| Emma I Buchanan | Nurse Practitioner | Regional Health Care Affiliates, Inc | 215 E Main St, Providence, KY 42450-1261 |
| Kathy L Vincent | Nurse Practitioner | Regional Health Care Affiliates, Inc | 215 E Main St, Providence, KY 42450-1261 |
| Kayla J Kukahiko | Physical Therapy | Fuller Physical Therapy | 123 E Main St, Providence, KY 42450-1268 |
| City | PROVIDENCE |
| Zip Code | 42450 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | PROVIDENCE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Heather Ann Henderson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.