Brianna Henderson, LICDC in Dayton, OH - Medicare Social Worker Provider

Brianna Henderson, LICDC is a medicare enrolled "Social Worker - Clinical" provider in Dayton, Ohio. Her current practice location is 4977 Northcutt Pl, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 387-6395.

Brianna Henderson is licensed to practice in Ohio (license number I.2103248) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609363928.

Contact Information

	Brianna Henderson, LICDC
	4977 Northcutt Pl, Dayton, OH 45414-3839
	(937) 387-6395
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brianna Henderson
Gender	Female
Speciality	Social Worker - Clinical
Location	4977 Northcutt Pl, Dayton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609363928
Provider Enumeration Date: 04/23/2018
Last Update Date: 03/01/2022

Medicare PECOS Information:

PECOS PAC ID: 0042601379
Enrollment ID: I20211221002875

Medical Identifiers

Medical identifiers for Brianna Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609363928	NPI	-	NPPES
341475943	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(Ohio)	Secondary
1041C0700X	Social Worker - Clinical	I.2103248 (Ohio)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brianna Henderson allows following entities to bill medicare on her behalf.

Entity Name	Family Resource Center Of Northwest Ohio Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710930953 PECOS PAC ID: 0446514673 Enrollment ID: O20180515002997

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brianna Henderson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Brianna Henderson, LICDC 1566 W Wayne St, Lima, OH 45805-2272 Ph: (419) 296-3330	Brianna Henderson, LICDC 4977 Northcutt Pl, Dayton, OH 45414-3839 Ph: (937) 387-6395

Reviews and Comments

Social Worker in Dayton, OH

Carrie Cook Latt, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1010 Valley St, Dayton, OH 45404 Phone: 937-641-3401 Fax: 937-641-3046
Elizabeth Dawn Morgan, MSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 289 Hilltop Dr, Dayton, OH 45415 Phone: 513-407-2944
Ms. Mawausi Ssabah Arraheem, MSW, CSW, LICDC,LPN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 W 3rd St, Dayton, OH 45428 Phone: 937-268-6511
Holly T Lefevre, MSSA, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-5300 Fax: 937-641-5134
Lacey Walker, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1785 Big Hill Rd, Dayton, OH 45439 Phone: 937-264-0084
Nicholle Megan Bair, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 W 3rd St, Building 410, Dayton, OH 45428 Phone: 937-268-6511
Stephanie Ann Bricker, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 W 3rd St, Dayton, OH 45428 Phone: 937-268-6511

Brianna Henderson, LICDC - Medicare Clinical Social Worker in Dayton, OH