Mr Carlton Keith Henderson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Memphis, Tennessee. His current practice location is
1384 Madison Avenue, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(901) 493-1103.
Mr Carlton Keith Henderson is licensed to practice in Tennessee (license number 3661) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699854166.
Healthcare Provider's Profile
| Full Name | Mr Carlton Keith Henderson |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1384 Madison Avenue, Memphis, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699854166
- Provider Enumeration Date: 11/03/2006
- Last Update Date: 02/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305879289
- Enrollment ID: I20170216002560
Medical Identifiers
Medical identifiers for Mr Carlton Keith Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699854166 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | TN-048 (Tennessee) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1939-C (Arkansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3661 (Tennessee) | Primary |
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. Mr Carlton Keith 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 |
|---|
Mr Carlton Keith Henderson, LCSW
1384 Madison Ave,
Memphis, TN 38104-2327
Ph: (901) 493-1103 | Mr Carlton Keith Henderson, LCSW
1384 Madison Avenue,
Memphis, TN 38104
Ph: (901) 493-1103 |
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