Coleen Henderson, LISW-S in Dayton, OH - Medicare Social Worker Provider

Coleen Henderson, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Dayton, Ohio. Her current practice location is 1055 E Centerville Station Rd, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 241-6403.

Coleen Henderson is licensed to practice in Ohio (license number I.1700205-SUPV) 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 1639566466.

Contact Information

	Coleen Henderson, LISW-S
	1055 E Centerville Station Rd, Dayton, OH 45459-5500
	(937) 241-6403
	(937) 439-2984

Map and Direction

Healthcare Provider's Profile

Full Name	Coleen Henderson
Gender	Female
Speciality	Social Worker - Clinical
Location	1055 E Centerville Station Rd, 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: 1639566466
Provider Enumeration Date: 04/20/2015
Last Update Date: 04/19/2023

Medicare PECOS Information:

PECOS PAC ID: 9638455231
Enrollment ID: I20230630002623

Medical Identifiers

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

Identifier	Type	State	Issuer
1639566466	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I.1700205-SUPV (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. Coleen Henderson allows following entities to bill medicare on her behalf.

Entity Name	Growth Minds Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124715347 PECOS PAC ID: 1951760487 Enrollment ID: O20230630002517

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. Coleen 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
Coleen Henderson, LISW-S 1055 E Centerville Station Rd, Dayton, OH 45459-5500 Ph: (937) 241-6403	Coleen Henderson, LISW-S 1055 E Centerville Station Rd, Dayton, OH 45459-5500 Ph: (937) 241-6403

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

Coleen Henderson, LISW-S - Medicare Clinical Social Worker in Dayton, OH